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Individual

BRIAN MICHAEL CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
302 MITCHELL ST, PETAL, MS 39465-2414
(601) 331-9019
Mailing address
302 MITCHELL ST, PETAL, MS 39465-2414
(601) 331-9019

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44952

Other

Enumeration date
10/09/2020
Last updated
07/08/2022
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