Individual
DEJA DEDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 DEBUYS RD, GULFPORT, MS 39507-2800
(228) 731-3500
(866) 625-0559
Mailing address
283 DEBUYS RD, GULFPORT, MS 39507-2800
(228) 731-3500
(866) 625-0559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-432951
MS
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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