Provider Demographics
NPI:1093218323
Name:CHATMAN-JAMES, JAHARIA
Entity type:Individual
Prefix:
First Name:JAHARIA
Middle Name:
Last Name:CHATMAN-JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 ABSINTH DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-8131
Mailing Address - Country:US
Mailing Address - Phone:678-485-0890
Mailing Address - Fax:
Practice Address - Street 1:3348 PEACHTREE RD NE STE 700
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1682
Practice Address - Country:US
Practice Address - Phone:470-500-0105
Practice Address - Fax:646-859-4440
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-18-51173106S00000X
GA1-21-53686103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician