Jacquelyn Tyler Zickel-Spain

NPI #1265256242 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1265256242
Entity Type: Individual
Name: Jacquelyn Tyler Zickel-Spain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 14, 2024
Last Updated: Nov 14, 2024

Practice Location

Address: 1535 N MOUNT JULIET RD
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-3315
Phone: (615) 560-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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