Individual
MRS. MARIAH SOMMER HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6752 U S HIGHWAY 98, HATTIESBURG, MS 39402-8443
(601) 721-0080
Mailing address
19 HILLTOP DR, LAUREL, MS 39443-0979
(601) 470-7128
(601) 470-7128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58133
MS
106S00000X
Behavior Technician
RBT-18-55442
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-58133
BCBA
—
01
—
220016
LBA
MS
01
—
RBT-18-55442
RBT
MS
Enumeration date
05/16/2018
Last updated
11/17/2025
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