Individual
MRS. LEXIE JO CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
17095 FENTON DEDEAUX RD, KILN, MS 39556-6931
(318) 416-2208
Mailing address
17095 FENTON DEDEAUX RD, KILN, MS 39556-6931
(318) 416-2208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14174
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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