Individual
MARSHALL PARKER LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
32 MILLBRANCH RD, HATTIESBURG, MS 39402-1672
(601) 255-5264
Mailing address
32 MILLBRANCH RD, HATTIESBURG, MS 39402-1672
(601) 543-4041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
170042
MS
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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