Individual
DR. JAMIE L REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
79 OLDE COTTAGE LN, MIDWAY, GA 31320-2307
(877) 321-2899
(877) 540-0182
Mailing address
79 OLDE COTTAGE LN, MIDWAY, GA 31320-2307
(877) 321-2899
(877) 540-0182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-12-5173
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003206138A
—
GA
Enumeration date
11/07/2012
Last updated
03/03/2020
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