Individual
LANA KATHRYN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2180 OAK GROVE RD, HATTIESBURG, MS 39402
(601) 336-5044
Mailing address
1465 LAKELAND DR, JACKSON, MS 39216-4719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
180066
MS
Other
Enumeration date
09/27/2018
Last updated
11/06/2018
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