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Leah Herndon

Behavior Technician in Biloxi, MS. Individual provider (NPI-1).

NPI number1295542017
StatusActive
Last updated in NPPESDec 16, 2024

Details

NPI
1295542017
Entity type
Individual (NPI-1)
Name
Leah Herndon
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2024
Certification date
Dec 16, 2024
Last updated
Dec 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2541 Pass Rd Ste A
Biloxi, MS 39531-2112

Phone 718-215-5311 · Fax 718-865-5165

Mailing address

2541 Pass Rd Ste A
Biloxi, MS 39531-2112

Phone 718-215-5311 · Fax 718-865-5165

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