Individual
LAUREN PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 MILLBRANCH RD STE 40, HATTIESBURG, MS 39402-1673
(601) 255-5264
Mailing address
32 MILLBRANCH RD, HATTIESBURG, MS 39402-1672
(601) 255-5264
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-125133
MS
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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