Individual
JADA RENEE MCLEOD STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
410 MALL BLVD STE G, SAVANNAH, GA 31406-4869
(404) 446-9194
Mailing address
410 MALL BLVD STE G, SAVANNAH, GA 31406-4869
(404) 446-9194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88488
GA
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
GA
Other
Enumeration date
01/22/2018
Last updated
04/01/2026
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