Detoma, Jane Katherine

Detoma, Jane Katherine is an individual health care provider with primary practice located at 2360 Murphy Blvd , Gainesville GA 30504-6002. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Detoma, Jane Katherine can be contacted via phone (770) 535-8372.

Contact Information

Primary practice address
2360 Murphy Blvd Gainesville GA 30504-6002
Phone: (770) 535-8372
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 240229 Kentucky

Profile Details

NPI number 1558728816
LBN Legal business name Detoma, Jane Katherine
Credentials MA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2016
Last updated Oct 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558728816 NPPES
Other 1-17-28561 BCBA CERTIFICATE

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