Healthcare Provider Details

I. General information

NPI: 1396683306
Provider Name (Legal Business Name): VANECIA JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 BRANDIES CIR STE 102
MURFREESBORO TN
37128-8423
US

IV. Provider business mailing address

3412 FRUITION CT
MURFREESBORO TN
37128-0100
US

V. Phone/Fax

Practice location:
  • Phone: 615-558-5744
  • Fax:
Mailing address:
  • Phone: 615-724-8607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB1519823
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: