Individual
MRS. JENNIFER ANN-PRICE RUNTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1173 ROCK SPRINGS RD STE 105, SMYRNA, TN 37167-8414
(615) 220-5796
Mailing address
1173 ROCK SPRINGS RD STE 105, SMYRNA, TN 37167-8414
(615) 220-5796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-12372
CA
103K00000X
Behavior Analyst
Primary
715
TN
Other
Enumeration date
11/09/2012
Last updated
12/17/2021
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