Individual
LESLIE MICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
374 GINGER DR, DIBERVILLE, MS 39540-3746
(228) 281-3160
Mailing address
PO BOX 7529, DIBERVILLE, MS 39540-7481
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
189601
MS
171M00000X
Case Manager/Care Coordinator
Primary
189601
MS
225800000X
Recreation Therapist
189601
MS
373H00000X
Day Training/Habilitation Specialist
189601
MS
405300000X
Prevention Professional
189601
MS
Other
Enumeration date
05/26/2017
Last updated
09/11/2025
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