Individual
JASELLE JANEE BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
15 PERRY ST, NEWNAN, GA 30263-1918
(770) 230-9021
Mailing address
4000 DUNWOODY PARK APT 1315, ATLANTA, GA 30338-7953
(334) 590-1120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79866
GA
106S00000X
Behavior Technician
RBT-21-189375
GA
Other
Enumeration date
09/14/2021
Last updated
03/30/2026
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