Individual
DIONNA LATRICE CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1119 OLD HUMBOLDT RD, JACKSON, TN 38305-1752
(901) 443-9146
Mailing address
475 CERRO GORDO RD, JACKSON, TN 38301-9124
(731) 202-7186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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