Individual
KARA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2261 KENT DR, SOUTHAVEN, MS 38672-7237
(662) 228-0130
Mailing address
5960 GETWELL RD STE 212D, SOUTHAVEN, MS 38672-7320
(662) 228-0130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
261026
MS
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
08/07/2026
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