| Gifted Futures Ms | |
|
6040 I-55 North Frontage Rd. Jackson MS 39211 | |
| (929) 466-1305 | |
| Not Available |
| Full Name | Gifted Futures Ms |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6040 I-55 North Frontage Rd., Jackson, Mississippi |
| Authorized Official Name and Position | Sim B (BILLING DIRECTOR) |
| Authorized Official Contact | 3479777095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gifted Futures Ms 1255 E 31st St Brooklyn NY 11210-4740 Ph: (347) 668-9113 | Gifted Futures Ms 6040 I-55 North Frontage Rd. Jackson MS 39211 Ph: (929) 466-1305 |
| NPI Number | 1003571316 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003571316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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