Provider Demographics
NPI:1366088148
Name:JEFFERS, JAIME CLAIRE (MA, RBT)
Entity type:Individual
Prefix:MS
First Name:JAIME
Middle Name:CLAIRE
Last Name:JEFFERS
Suffix:
Gender:F
Credentials:MA, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 MAYFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2322
Mailing Address - Country:US
Mailing Address - Phone:740-359-5624
Mailing Address - Fax:703-492-6787
Practice Address - Street 1:2011 MAYFLOWER DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2322
Practice Address - Country:US
Practice Address - Phone:740-359-5624
Practice Address - Fax:703-492-6787
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-19-92016106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician