Organization
PROVIDENCE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY MARIE BEARDEN MS, BCBA, LBA (OWNER)
(769) 257-1416
Entity
Organization
Contact information
Practice address
109 OFFICE PARK DR STE B&C, BRANDON, MS 39042-2403
(769) 257-1416
Mailing address
109 OFFICE PARK DR STE B&C, BRANDON, MS 39042-2403
(601) 213-3117
(601) 213-3117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
06/21/2026
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