Individual
JEFFERY TYLER ARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA, LBA
Contact information
Practice address
2510 LAKELAND TER, JACKSON, MS 39216-4702
(601) 982-7827
Mailing address
PO BOX 12347, JACKSON, MS 39236-2347
(601) 954-5605
(601) 982-0800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
190085
MS
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/14/2019
Last updated
11/13/2019
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