Most Relevant Information
Provider Data
| NPI Number: | 1003578444 |
| Provider Name: | JADE EADDY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/13/2021 |
| Last Updated: | 10/13/2021 |
Provider Practice Location
3303 FLOWERS RD S APT J
ATLANTA
GA
303416142
Practice Location Phone/Fax
| Phone: | 2159102680 |
| Fax: |
Provider Mailing Location
3303 FLOWERS RD S APT J
ATLANTA
GA
303416142
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |