Individual
JESSA SHIANE BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(931) 542-2739
Mailing address
180 CAVE RD, CLARKSVILLE, TN 37043-1791
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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