Individual
KENEA C THEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
883 SEVEN OAKS BLVD STE 850, SMYRNA, TN 37167-6691
(629) 216-2007
Mailing address
2961 S RUTHERFORD BLVD APT C1, MURFREESBORO, TN 37130-6061
(615) 684-1776
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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