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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE BARBARA GRESHAM

Active

JACQUELINE BARBARA GRESHAM is a Behavior Technician healthcare provider located in MARLBOROUGH, Georgia. NPI 1609619790 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · MARLBOROUGH, GA

Registration Details

NPI Number
1609619790
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2024 (2.1567082106649 yrs)
Last Updated
Jun 17, 2024

Practice Information

Address
225 CEDAR HILL STREET
200
MARLBOROUGH, GA, 30274
Browse GA providers · Browse ZIP 30274
Phone
6787600512
Primary Specialty
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.