Individual
JESSICA MONDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 BLUE SPRINGS RD, ELIZABETHTON, TN 37643-5576
(423) 609-4103
Mailing address
2214 S GREENWOOD DR APT 14, JOHNSON CITY, TN 37604-7023
(423) 218-6983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242276
TN
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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