Individual
JEREMIAH WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
427 SPRING ST SE, GAINESVILLE, GA 30501-3737
(770) 615-7676
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59164
GA
103K00000X
Behavior Analyst
—
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/18/2018
Last updated
03/01/2024
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