Healthcare Provider Details

I. General information

NPI: 1659895670
Provider Name (Legal Business Name): MRS. JANA LINDSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANA ELIZABETH THOMAS

II. Dates (important events)

Enumeration Date: 08/01/2017
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 HAMMOND DRIVE BLDG 16, STE 100
ATLANTA GA
30328
US

IV. Provider business mailing address

1776 CENTURY BLVD NE STE A
ATLANTA GA
30345-3397
US

V. Phone/Fax

Practice location:
  • Phone: 678-974-2162
  • Fax: 888-533-9896
Mailing address:
  • Phone: 678-974-2162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: