Individual
MRS. KATHY ANDERSON LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
105A N 2ND ST, BOONEVILLE, MS 38829-3207
(662) 554-9031
Mailing address
206 WESTOVER HTS, BOONEVILLE, MS 38829-1106
(662) 554-9031
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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