Jenna Baine, LBA, BCBA, RBT
Behavior Analyst in Memphis, TN. Individual provider (NPI-1).
NPI number1578130522
StatusActive
Last updated in NPPESMar 11, 2022
Details
- NPI
- 1578130522
- Entity type
- Individual (NPI-1)
- Name
- Jenna Baine
- Credential
- LBA, BCBA, RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- Mar 11, 2022
- Last updated
- Mar 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 928 | TN | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 106S00000X | Behavior Technician | RBT-21-171312 | TN |
Practice location
6413 Quince RdMemphis, TN 38119-8219
Phone 901-690-5213 · Fax 901-666-8440
Mailing address
6413 Quince RdMemphis, TN 38119-8219
Phone 901-690-5213 · Fax 901-666-8440
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