Individual
ANTOINETTE CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1094 S FIRST STREET, BROOKHAVEN, MS 39601
(769) 233-7154
Mailing address
402 LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-211099
MS
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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