MEDICARE: JEFFERY C STEIMER MS, BCBA

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
1	103K00000X	Behavior Analyst	1-13-13134

General Provider Information

NPI Number	:	1568809929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFERY C STEIMER MS, BCBA

Provider Business Mailing Address
First Line	:	2001 PROFESSIONAL PKWY STE 220
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-6444
Country	:	US
Telephone Number	:	678-595-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 PROFESSIONAL PKWY STE 220
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-6444
Country	:	US
Telephone Number	:	678-595-5933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2013
Last Update Date	:	07/15/2021

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