Provider Demographics
NPI:1740048636
Name:MCBRIDE, JAMIE (BS)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 FLAT SHOALS RD APT 1605
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-5178
Mailing Address - Country:US
Mailing Address - Phone:678-760-7238
Mailing Address - Fax:
Practice Address - Street 1:2555 FLAT SHOALS RD APT 1605
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-5178
Practice Address - Country:US
Practice Address - Phone:678-760-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst