Mr. Jakarta Agnew
Mr. Jakarta Agnew is a Behavior Technician in Clarksville, Tennessee. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
139 E Old Trenton Rd Ste BClarksville, TN 37043-5945
Phone: (931) 444-1449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1407504095 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 14, 2022 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 139 E Old Trenton Rd Ste B, Clarksville, TN 37043-5945 |
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