NPI 1003392028

Renee Camille Jackson, BCBA

Practitioner Behavior Analyst Nashville, TN

Practice location

Address: 6515 Holt Rd, Nashville, TN 37211-6903
Phone: (615) 832-0059
Mailing address: 4716 Venito St, Mount Juliet, TN 37122-4590

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-18-31297 (TN)

Other Behavior Analyst providers in Tennessee →

Registry record

NPI: 1003392028
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2018
Record last updated: 12 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.