| Vicksburg Center For Exceptional Children | |
|
107 Herrod St Vicksburg MS 39180-5533 | |
| (601) 218-5497 | |
| Not Available |
| Full Name | Vicksburg Center For Exceptional Children |
|---|---|
| Speciality | Behavior Analyst |
| Location | 107 Herrod St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Melissa Broome (OWNER) |
| Authorized Official Contact | 6012185497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicksburg Center For Exceptional Children 107 Herrod St Vicksburg MS 39180-5533 Ph: (601) 218-5497 | Vicksburg Center For Exceptional Children 107 Herrod St Vicksburg MS 39180-5533 Ph: (601) 218-5497 |
| NPI Number | 1063226678 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063226678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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