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NPI Code Detail

MEDICARE: JENNIFER BRINKLEY

MEDICARE:   JENNIFER  BRINKLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1477411528
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BRINKLEY
Provider Business Mailing Address
First Line : 740 E GENERAL STEWART WAY STE 202
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 740 E GENERAL STEWART WAY STE 202
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2630
Country : US
Telephone Number : 912-432-7938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ JENNIFER BRINKLEY ” Practice Location

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