Jireh Providers L.l.c

NPI #1386526150 in Mooresville, North Carolina

Provider Information

NPI Number: 1386526150
Entity Type: Organization
Organization Name: Jireh Providers L.l.c
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2025
Last Updated: Aug 4, 2025

Practice Location

Address: 344 ROLLING HILL RD STE 201
City: Mooresville
State: North Carolina
ZIP Code: 28117-6865
Phone: (704) 360-4292

Authorized Official

Name: MRS. WANDA MARIE BURNS, RBT
Title: OWNER
Phone: (704) 360-4292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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