Individual
JAMISON KEENUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5280 SNAPFINGER PARK DR, DECATUR, GA 30035-4044
(762) 783-9472
Mailing address
5280 SNAPFINGER PARK DR, DECATUR, GA 30035-4044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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