Individual
JEREMY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
921 CHARLIE SMITH SR. HIGHWAY, ST. MARYS, GA 31558
(912) 576-7070
(904) 538-0714
Mailing address
10175 FORTUNE PARKWAY, SUITE 903, JACKSONVILLE, FL 32256
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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