Organization
BLUE SKY BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEELIMA GUTTI DUNCAN (CLINIC DIRECTOR)
(769) 233-7154
Entity
Organization
Contact information
Practice address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Mailing address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
09/22/2021
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