Organization
TENNESSEE BEHAVIORAL THERAPY JASPER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNI DAVIS (OWNER)
(423) 902-6598
Entity
Organization
Contact information
Practice address
20 COURTHOUSE SQ, JASPER, TN 37347-3530
(423) 847-2998
Mailing address
20 COURTHOUSE SQ, JASPER, TN 37347-3530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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