Organization
THWEATT ADVANCED BEHAVIOR ASSOCIATES
Active
Other names
Thweatt Advanced Behavior Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE RENEE THOMAS THWEATT-BURTON M.ED., BCBA, LBA (EXECUTIVE DIRECTOR)
(731) 614-3101
Entity
Organization
Contact information
Practice address
708 BROAD AVE, GULFPORT, MS 39501-1350
(731) 614-3101
(228) 300-2113
Mailing address
708 BROAD AVE, GULFPORT, MS 39501-1350
(731) 614-3101
(228) 300-2113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000623
TENNESSEE DEPARTMENT OF HEALTH
TN
05
—
06888361
—
MS
01
—
200005
MISSISSIPPI AUTISM BOARD
MS
01
—
LBA0000000627
ALABAMA BEHAVIOR ANALYST LICENSING BOARD
AL
Enumeration date
06/17/2022
Last updated
07/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us