Provider Demographics
NPI:1023680899
Name:MCCARTY, JEFFREY GIOVANNI (RBT)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:GIOVANNI
Last Name:MCCARTY
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3563 BROAD OAK CT
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-4798
Mailing Address - Country:US
Mailing Address - Phone:404-313-7179
Mailing Address - Fax:
Practice Address - Street 1:3563 BROAD OAK CT
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-4798
Practice Address - Country:US
Practice Address - Phone:404-313-7179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician