Organization
SOUTHERN MISS AUTISM RESEARCH TEAM (SMART) CLINIC
Active
Other names
University of Southern Mississippi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W MOORE BCBA-D (BEHAVIOR ANALYST)
(601) 266-4611
Entity
Organization
Contact information
Practice address
118 COLLEGE DR BOX 5025, UNIVERSITY OF SOUTHERN MISSISSIPPI, HATTIESBURG, MS 39406-0001
(601) 266-5025
Mailing address
118 COLLEGE DR BOX 5025, UNIVERSITY OF SOUTHERN MISSISSIPPI, HATTIESBURG, MS 39406-0001
(601) 266-5025
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0968
MS
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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