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Individual

KRISTIN RHEA WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4061 SUZANNE DR STE CANDD, DIBERVILLE, MS 39540-3735
(228) 396-4434
(228) 396-4438
Mailing address
4061 SUZANNE DR STE C&D, DIBERVILLE, MS 39540-3735
(228) 396-4434
(228) 396-4438

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
200054
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891084414
MS CENTERS FOR AUTISM AND OTHER RELATED DEVELOPMENTAL DISABILITIES
MS
Enumeration date
04/26/2016
Last updated
06/02/2022
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