Provider Demographics
NPI:1659895670
Name:LINDSEY, JANA
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:ELIZABETH
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1776 CENTURY BLVD NE STE A
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3397
Mailing Address - Country:US
Mailing Address - Phone:678-974-2162
Mailing Address - Fax:
Practice Address - Street 1:750 HAMMOND DRIVE
Practice Address - Street 2:BLDG 16, STE 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:678-974-2162
Practice Address - Fax:888-533-9896
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty