Jalecia Desiree Andrews
Individual provider Active NPI Behavior Technician · Douglasville, GA
NPI 1992546428 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1992546428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1905 Riverside Pkwy
Douglasville, GA 30135-3207 - Phone
- (347) 565-0383
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | GA | Yes |
Addresses
Primary practice location
1905 Riverside Pkwy
Douglasville, GA 30135-3207
Mailing address
1905 Riverside Pkwy
Douglasville, GA 30135-3207
Phone (347) 565-0383
Other providers in Douglasville, GA
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- Julia Anderson
- Juliet Anderson
- Rashida Thomas Anderson
- Stacy Jaynes Anderson
- Tamara Andrews
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- Angels at Your Service
- Angels at Your Service Homecare
All providers in Douglasville, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. 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.