Individual
BRIDGETT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 WILDWOOD DR, PICAYUNE, MS 39466-2178
(228) 369-7747
Mailing address
5027 KAMENT ST, BAY SAINT LOUIS, MS 39520-8739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-25-84382
MS
106S00000X
Behavior Technician
Primary
24-323773
MS
Other
Enumeration date
01/26/2024
Last updated
11/15/2025
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