Individual
ARIYANA ASHUNTI AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 U S HIGHWAY 11, HATTIESBURG, MS 39402-8024
(601) 447-4658
Mailing address
105 DOLEAC DR APT 211, HATTIESBURG, MS 39401-3118
(601) 668-3146
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-314223
MS
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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