Provider Demographics
NPI:1659880540
Name:PARTAIN, JESSICA (BCABA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:PARTAIN
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 BULL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-3378
Mailing Address - Country:US
Mailing Address - Phone:912-414-7882
Mailing Address - Fax:
Practice Address - Street 1:500 NORTHSIDE XING STE A
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-2377
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-24
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst