Individual
MRS. ROBYN RILEY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1513 LAKELAND DR, JACKSON, MS 39216-4829
(769) 777-1104
(769) 777-1136
Mailing address
1465 LAKELAND DR, JACKSON, MS 39216-4719
(769) 777-1000
(769) 230-2863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
180060
MS
Other
Enumeration date
09/26/2018
Last updated
11/08/2018
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