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Individual
JAMAURIE DAVON LOCKETT
Active
Individual
JAMAURIE DAVON LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
175T00000X
Peer Specialist
—
NULL
251B00000X
Case Management Agency
Primary
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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