Jessica Lynn Heacock, M.A. BCBA
Behavior Analyst in Hermitage, TN. Individual provider (NPI-1).
NPI number1801201280
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1801201280
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Lynn Heacock
- Credential
- M.A. BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2014
- Last updated
- Jun 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 75-2690132 | TN | Yes |
Practice location
1004 Hickory Hill LnSuite 2
Hermitage, TN 37076-1930
Phone 615-939-9313
Mailing address
2408 Plymouth CtMurfreesboro, TN 37127-7252
Phone 386-216-1558
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All 24 Behavior Analyst providers in Hermitage · All 959 providers in Hermitage
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