Individual
MR. JEREMY KENNETH GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
664 POWERS AVE, ANNISTON, AL 36205-4419
(256) 770-4273
Mailing address
664 POWERS AVE, ANNISTON, AL 36205-4419
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-113920
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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