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

Jordan Olushegun Millette

Individual provider Behavior Technician · NPI 1063105013

Jordan Olushegun Millette is a Behavior Technician in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

109 Nanci Ct
Stockbridge, GA 30281-6036
Phone: (470) 230-1043
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB80315 (GA)

Record details

NPI number1063105013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2023
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023

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