Provider Demographics
NPI:1043586340
Name:HUNT, JAMIE (MA - BCBA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:HUNT
Suffix:
Gender:M
Credentials:MA - BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 HILBURN RD
Mailing Address - Street 2:APT 52
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6387
Mailing Address - Country:US
Mailing Address - Phone:850-292-6274
Mailing Address - Fax:
Practice Address - Street 1:7270 HILBURN RD
Practice Address - Street 2:APT 52
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6387
Practice Address - Country:US
Practice Address - Phone:850-292-6274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-12-10452103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst