Individual
JEWEL LYNNE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6301 HIGHWAY 39, MERIDIAN, MS 39305-9400
(601) 812-8368
Mailing address
2221 ALAMUCHA WHYNOT RD, TOOMSUBA, MS 39364-8703
(601) 616-1585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB771243
MS
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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