Whalio Doctors

NPI 1063048726

Jacaynlene Young, RBT

Practitioner Behavior Technician Bartlett, TN

Practice location

Address
6761 Stage Rd, Bartlett, TN 38134-3867
Phone
(901) 379-8827
Fax
(901) 244-6153

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-69180 (AR)

Registry record

NPI
1063048726
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Mar 2020
Record last updated
13 Mar 2020

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.