Provider Demographics
NPI:1659888337
Name:HARDEN, JESSICA RENEE (BCBA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:RENEE
Last Name:HARDEN
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NORTHFIELD DR STE C
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5711
Mailing Address - Country:US
Mailing Address - Phone:931-624-4010
Mailing Address - Fax:
Practice Address - Street 1:1255 NORTHFIELD DR STE C
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5711
Practice Address - Country:US
Practice Address - Phone:931-624-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst