Jeremy Cole, BCABA
Individual provider Active NPI Behavior Analyst · St. Marys, GA
NPI 1679975783 · NPPES record last updated Sep 19, 2014
Key facts
- NPI
- 1679975783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 921 Charlie Smith Sr. Highway
St. Marys, GA 31558 - Phone
- (912) 576-7070
- Fax
- (904) 538-0714
- NPI assigned
- Sep 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
921 Charlie Smith Sr. Highway
St. Marys, GA 31558
Mailing address
10175 Fortune Parkway
Suite 903
Jacksonville, FL 32256
Phone (904) 538-0713
Other providers in St. Marys, GA
- Coastal Wellness Family Medicine LLC
- Coastlift Medical Transport, LLC
- Coastline Physical Medicine and Rehabilitation Inc.
- Alison Elizabeth Coffey
- Sydney Cohen
- Meg Collier
- Sonya Colon
- Serie Ann Compton
- Connections Family Therapy, Inc
- Continium Care Solutions Inc
All providers in St. Marys, GA · Behavior Analyst in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.