Heather Renee Fairley, RBT
Behavior Technician in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1144787151
StatusActive
Last updated in NPPESFeb 26, 2019
Details
- NPI
- 1144787151
- Entity type
- Individual (NPI-1)
- Name
- Heather Renee Fairley
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2019
- Last updated
- Feb 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 18-47592 | MS | Yes |
Practice location
32 Millbranch Rd Ste 40Hattiesburg, MS 39402-1673
Phone 601-255-5264
Mailing address
2612 N 9th StOcean Springs, MS 39564-1008
Phone 228-493-9583
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All 122 Behavior Technician providers in Hattiesburg · All 3,372 providers in Hattiesburg
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