Provider Demographics
NPI:1568809929
Name:STEIMER, JEFFERY C (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:JEFFERY
Middle Name:C
Last Name:STEIMER
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 PROFESSIONAL PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-6444
Mailing Address - Country:US
Mailing Address - Phone:678-595-5933
Mailing Address - Fax:
Practice Address - Street 1:2001 PROFESSIONAL PKWY STE 220
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6444
Practice Address - Country:US
Practice Address - Phone:678-595-5933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-25
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-13-13134103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst