Individual
NATHAN VIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Mailing address
1338 LINDEN PL, JACKSON, MS 39202-1805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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