KHADIJAH ALEXANDER RBT
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1144932070- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RBT
- Status
- Active
Contact & Location
- Address
- 1119 OLD HUMBOLDT RD, JACKSON, TN, 383051752
- Phone
- (901) 443-9146
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
220 NEW HOPE ST
DYER, TN, 383301312