Baine, Jenna

Baine, Jenna is an individual health care provider with primary practice located at 6413 Quince Rd , Memphis TN 38119-8219. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Baine, Jenna can be contacted via phone (901) 690-5213.

Contact Information

Primary practice address
6413 Quince Rd Memphis TN 38119-8219
Phone: (901) 690-5213
Fax: (901) 666-8440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-171312 Tennessee
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 928 Tennessee

Profile Details

NPI number 1578130522
LBN Legal business name Baine, Jenna
Credentials LBA, BCBA, RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Mar 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578130522 NPPES
Tennessee Other RBT-21-171312 BACB
Tennessee Other 928 BACB

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