Provider Demographics
NPI:1992508089
Name:SON, JUBIN
Entity type:Individual
Prefix:
First Name:JUBIN
Middle Name:
Last Name:SON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 WALLACE RD STE 6
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4986
Mailing Address - Country:US
Mailing Address - Phone:615-549-6608
Mailing Address - Fax:
Practice Address - Street 1:330 WALLACE RD STE 6
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4986
Practice Address - Country:US
Practice Address - Phone:615-549-6608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician