Blue Sky Behavior Therapy
Behavior Analyst in Ridgeland, MS. Organization (NPI-2).
NPI number1609418896
StatusActive
Last updated in NPPESSep 22, 2021
Details
- NPI
- 1609418896
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Sky Behavior Therapy
- Organization subpart
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Sep 22, 2021
- Last updated
- Sep 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
402b Legacy ParkRidgeland, MS 39157-4315
Phone 769-233-7154
Mailing address
402b Legacy ParkRidgeland, MS 39157-4315
Phone 769-233-7154
Authorized official
Neelima Gutti Duncan
Clinic Director
7692337154
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