Individual
KAYLIKA BRE'NAY PULPHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
359 TOWNE CENTER BLVD STE 601, RIDGELAND, MS 39157-4862
(769) 225-0045
Mailing address
711 LAKE HARBOUR DR APT 1161, RIDGELAND, MS 39157-4309
(662) 308-8520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1380602
MS
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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