Renee Camille Jackson
Behavior Analyst
6515 Holt Rd
Nashville
, Tennessee 37211-6903
Renee Camille Jackson
Behavior Analyst
6515 Holt Rd
Nashville
, Tennessee 37211-6903
(678) 201-7111
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Renee Camille Jackson
- 4716 Venito St
- Mount Juliet, TN
- Zip : 37122-4590
- Phone : (678) 201-7111
Second Address
- Renee Camille Jackson
- 6515 Holt Rd
- Nashville, TN
- Zip : 37211-6903
- Phone : (615) 832-0059
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-18-31297 | TN |
National Provider Identifier
| NPI | 1003392028 |
|---|---|
| Provider Name | Renee Camille Jackson |
| First Address | Mount Juliet, TN 37122-4590 |
| Second Address | Nashville, TN 37211-6903 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2018 |
| Last Update Date | 12/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.