Individual
JALESA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2298 YOUNG AVE, MEMPHIS, TN 38104-5755
(615) 283-2550
Mailing address
2298 YOUNG AVE, MEMPHIS, TN 38104-5755
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB998517
TN
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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