Individual provider · Type 1 NPI
Jimmie R. Livesay, BCBA
Intellectual & Developmental Disabilities Psychologist · Jonesboro, IL
NPI number
1336260256
Active
Practice location
514 N Main St
Jonesboro, IL 62952-1800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1336260256
Jimmie R. Livesay, BCBA's National Provider Identifier is 1336260256, issued on Apr 2, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Jonesboro, IL. The record was last updated on Jul 8, 2007.