| University Of Southern Mississippi | |
|
118 College Dr Box 5025 University Of Southern Mississippi Hattiesburg MS 39406-0001 | |
| (601) 266-5025 | |
| Not Available |
| Full Name | University Of Southern Mississippi |
|---|---|
| Speciality | Behavior Analyst |
| Location | 118 College Dr Box 5025, Hattiesburg, Mississippi |
| Authorized Official Name and Position | James W Moore (BEHAVIOR ANALYST) |
| Authorized Official Contact | 6012664611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Southern Mississippi 118 College Dr Box 5025 University Of Southern Mississippi Hattiesburg MS 39406-0001 Ph: (601) 266-5025 | University Of Southern Mississippi 118 College Dr Box 5025 University Of Southern Mississippi Hattiesburg MS 39406-0001 Ph: (601) 266-5025 |
| NPI Number | 1700272432 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700272432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-02-0968 (Mississippi) | Primary |
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