Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emily Jane Self

Individual provider Behavior Technician · NPI 1780374231

Emily Jane Self is a Behavior Technician in Kingston, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

255 Old Rome Rd
Kingston, GA 30145-2107
Phone: (706) 676-4433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1780374231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462