Jaded Lotus Aba LLC

NPI #1023644366 in Memphis, Tennessee

Provider Information

NPI Number
1023644366
Entity Type
Organization
Organization Name
Jaded Lotus Aba LLC
Primary Specialty
Behavior Analyst
Enumeration Date
Mar 18, 2020
Last Updated
Jul 11, 2023

Practice Location

Address
3834 GINKGO LN APT 206
ZIP Code
38125-6538
Phone
(901) 336-4225

Authorized Official

Name
JOJUAN FULLWILEY
Title
BCBA
Phone
(901) 498-0108

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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