Healthcare Provider Details

I. General information

NPI: 1093218323
Provider Name (Legal Business Name): JAHARIA CHATMAN-JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 06/01/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3348 PEACHTREE RD NE STE 700
ATLANTA GA
30326-1682
US

IV. Provider business mailing address

7609 ABSINTH DR
ATLANTA GA
30349-8131
US

V. Phone/Fax

Practice location:
  • Phone: 470-500-0105
  • Fax: 646-859-4440
Mailing address:
  • Phone: 678-485-0890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-51173
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-53686
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: