Individual
JEREMY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2185 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 202-4638
Mailing address
50 PLAZA WAY NW, MARIETTA, GA 30060-1141
(786) 912-2066
(404) 393-3133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
19-97334
AL
106S00000X
Behavior Technician
Primary
RBT-19-97334
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-97334
RBT
GA
01
—
RBT-19-97334
RBT
—
Enumeration date
08/28/2019
Last updated
07/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us