Individual
MRS. REBECCA LYNN JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CHURCH ST STE 2000, NASHVILLE, TN 37219-3304
(863) 397-6652
Mailing address
570 S ROSEWOOD DR, CLARKSVILLE, TN 37043-2385
(863) 397-6652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-07-3458
FL
103K00000X
Behavior Analyst
Primary
1132
TN
Other
Enumeration date
03/15/2010
Last updated
10/25/2023
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