Individual
JAQUOIA MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 586-5688
Mailing address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25430035
TN
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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