Individual
JESSICA BRITTAIN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7075 GOLDEN OAKS LOOP W, SOUTHAVEN, MS 38671-9010
(622) 228-0095
(678) 868-2843
Mailing address
7075 GOLDEN OAKS LOOP W, SOUTHAVEN, MS 38671-9010
(662) 228-0095
(678) 868-2843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
097390142
TN
Other
Enumeration date
05/17/2011
Last updated
05/09/2022
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