Individual
JAMES IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
624 PONDER PLACE DR, EVANS, GA 30809-3343
(706) 863-9699
(904) 538-0714
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-456583
GA
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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