Individual
JUNIPER WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PROSPERITY DR, KNOXVILLE, TN 37923-4718
(912) 660-1547
Mailing address
1101 NIGHT CAP LN, KNOXVILLE, TN 37919-8746
(912) 660-1547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-355653
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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