Individual
MARY JESSICA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
109 CREEKWOOD AVE APT 203, BOWLING GREEN, KY 42101-3939
(615) 804-3570
Mailing address
109 CREEKWOOD AVE APT 203, BOWLING GREEN, KY 42101-3939
(615) 804-3570
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-502574
KY
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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