Individual
MARK G YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2180 OAK GROVE RD., HATTIESBURG, MS 39402
(601) 264-9728
Mailing address
1465 LAKELAND DR, JACKSON, MS 39216-4719
(601) 352-7784
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
180065
MS
Other
Enumeration date
09/27/2018
Last updated
11/06/2018
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