Individual
JADA S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1981 MANILA AVE, MEMPHIS, TN 38114-1746
(901) 900-6375
Mailing address
1981 MANILA AVE, MEMPHIS, TN 38114-1746
(901) 900-6375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-220709
TN
Other
Enumeration date
11/09/2023
Last updated
11/15/2023
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