| Wild & Free Behavior, Llc | |
|
403 Doctors Dr New Albany MS 38652-3110 | |
| (662) 539-7129 | |
| (662) 539-7298 |
| Full Name | Wild & Free Behavior, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 403 Doctors Dr, New Albany, Mississippi |
| Authorized Official Name and Position | Anna Claire Waldrop (BCBA/OWNER) |
| Authorized Official Contact | 6625388657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild & Free Behavior, Llc 403 Doctors Dr New Albany MS 38652-3110 Ph: (662) 539-7129 | Wild & Free Behavior, Llc 403 Doctors Dr New Albany MS 38652-3110 Ph: (662) 539-7129 |
| NPI Number | 1760190078 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760190078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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