Individual
ASIA LANAE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
440 ROPER MOUNTAIN RD STE A, GREENVILLE, SC 29615-4235
(864) 248-0713
Mailing address
440 ROPER MOUNTAIN RD STE A, GREENVILLE, SC 29615-4235
(864) 248-0713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-290739
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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