MR. JIMMIE R LIVESAY BCBA
NPI 1336260256
Psychologist - Intellectual and Developmental Disabilities in Jonesboro, IL

Q: What is Jimmie Livesay's NPI number?

The NPI number for Jimmie Livesay is 1336260256. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Jimmie Livesay's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Q: When was this NPI record last updated?

The NPPES record for Jimmie Livesay was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2007

514 N MAIN ST, JONESBORO, IL 62952(618) 614-4265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jimmie R Livesay Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JIMMIE R LIVESAY BCBA (NPI 1336260256) is an individual intellectual and developmental disabilities provider in Jonesboro, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1336260256

Entity TypeIndividualMale

Primary Taxonomy103TM1800X

Provider Legal NameMR. JIMMIE R LIVESAYCredential: BCBA

Location Address514 N MAIN STJonesboro, IL 62952-1800

Mailing Address514 N Main StJonesboro, IL 62952-1800 · (618) 614-4265

Phone(618) 614-4265

Sole ProprietorYes

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336260256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

514 N MAIN ST, Jonesboro, IL 62952

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmie Livesay's NPI number?

The NPI number for Jimmie Livesay is 1336260256. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Jimmie Livesay located?

Jimmie Livesay practices at 514 N Main St, Jonesboro, IL 62952. The listed phone number is (618) 614-4265.

What is Jimmie Livesay's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Jimmie Livesay was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.