Individual
AUBRI CHALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2541 PASS RD, BILOXI, MS 39531-2106
(850) 607-6910
(850) 607-6932
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
(801) 255-5131
(801) 658-0604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
06/16/2020
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