Jemima Na Civil Valid NPI
Individual provider · Behavior Technician · Tyrone, GA
- NPI
- 1083589360
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-25-413139 (GA)
- Sex
- X
- Sole proprietor
- No
- Enumerated
- 2025-10-07
- Last updated
- 2025-10-14
Practice location
100 Commerce Dr Unit 452
Tyrone, GA 30290-8020
(404) 590-1677