| NPI | 1285266924 |
|---|---|
| Former Name | THERESA A JERNIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: TN LABA36) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-20-111054) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-12-29 |