Individual
JAIME MELINDA WATKINS-GILLHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CANAL ST, BUILDING 400, POOLER, GA 31322-4085
(912) 988-1444
(803) 905-4431
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-02-0531
FL
Other
Enumeration date
06/10/2011
Last updated
03/02/2016
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