Individual
THOMAS DEAUNTA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1119 OLD HUMBOLDT RD, JACKSON, TN 38305-1752
(901) 443-9146
Mailing address
24 BAGBY RD, APT H, JACKSON, TN 38305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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