Individual
JASMINE OCTAVIA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4396
(901) 249-7838
Mailing address
711 JEFFERSON AVE, MEMPHIS, TN 38105-5003
(901) 448-6580
(901) 448-4734
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2015
Last updated
03/12/2021
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