Organization
EMPOWERED BEHAVIORAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LEE MOORE M.A. (PRESIDENT AND CEO)
(601) 447-0411
Entity
Organization
Contact information
Practice address
16 PLUMER CIR, PURVIS, MS 39475-8700
(601) 467-3423
Mailing address
PO BOX 18606, HATTIESBURG, MS 39404-8606
(601) 467-3423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1020969
FL
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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