Organization
SHAPING BEHAVIORS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MAE SEVILLANO DODSON BEHAVIOR ANALYST (BCBA/OWNER)
(228) 344-5011
Entity
Organization
Contact information
Practice address
200 RIVERVIEW RD, BAY ST LOUIS, MS 39520-8867
(228) 344-5011
Mailing address
200 RIVERVIEW RD, BAY ST LOUIS, MS 39520-8867
(228) 344-5011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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