| Blue Sky Behavior Therapy | |
|
402b Legacy Park Ridgeland MS 39157-4315 | |
| (769) 233-7154 | |
| Not Available |
| Full Name | Blue Sky Behavior Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 402b Legacy Park, Ridgeland, Mississippi |
| Authorized Official Name and Position | Neelima Gutti Duncan (CLINIC DIRECTOR) |
| Authorized Official Contact | 7692337154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Behavior Therapy 402b Legacy Park Ridgeland MS 39157-4315 Ph: (769) 233-7154 | Blue Sky Behavior Therapy 402b Legacy Park Ridgeland MS 39157-4315 Ph: (769) 233-7154 |
| NPI Number | 1609418896 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 09/22/2021 |
| Certification Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609418896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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