Healthcare Provider Details

I. General information

NPI: 1255255881
Provider Name (Legal Business Name): JESSICA CATO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 MCMINN AVE
ATHENS TN
37303-4106
US

IV. Provider business mailing address

220 TATUM ST APT E5
ETOWAH TN
37331-7677
US

V. Phone/Fax

Practice location:
  • Phone: 423-745-3862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: