IndividualActive
Andrea Jivens
NPI 1194589044 · Behavior Technician · Pooler, GA
Provider details
- NPI number
- 1194589044
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 Commerce Ct
Pooler, GA 31322-9445
Phone: (615) 560-6622
Approximate (ZIP-level) locationGet directions
Mailing address
213 S Avalon Dr
Savannah, GA 31404-2369
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.