Individual
JACOB SCOTT FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
5645 MERCHANTS CENTER BLVD, KNOXVILLE, TN 37912-3470
(865) 257-9982
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2023
Last updated
08/29/2023
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