Individual
JORDAN SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2484 BRIGHTS PIKE, MORRISTOWN, TN 37814
(865) 312-8220
(833) 550-1727
Mailing address
PO BOX 32665, KNOXVILLE, TN 37930-2665
(865) 312-8220
(833) 550-1727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76243
TN
106S00000X
Behavior Technician
RBT-21-196798
TN
Other
Enumeration date
08/23/2021
Last updated
11/07/2024
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