Beverly Straughn, IDD WAIVER SERVICES
Day Training/Habilitation Specialist in Laurel, MS. Individual provider (NPI-1).
NPI number1013633080
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1013633080
- Entity type
- Individual (NPI-1)
- Name
- Beverly Straughn
- Credential
- IDD WAIVER SERVICES
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2022
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
1224 Hillcrest DrLaurel, MS 39440-4734
Phone 601-649-2933
Mailing address
Po Box 18679Hattiesburg, MS 39404-8679
Phone 601-705-1901
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All 11 Day Training/Habilitation Specialist providers in Laurel · All 913 providers in Laurel
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