Individual
JALEN BILLINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 STATEBORO PLACE CIR, BUILDING S APPT 199, STATESBORO, GA 30458
(229) 425-0286
Mailing address
1400 STATEBORO PLACE CIR, BUILDING S APPT 199, STATESBORO, GA 30458
(229) 425-0286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
-24-355017
GA
Other
Enumeration date
06/03/2024
Last updated
07/08/2024
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