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Individual

ELISSA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
4061 SUZANNE DR, SUITE C AND D, DIBERVILLE, MS 39540-3735
(228) 396-4434
Mailing address
1121 DAUPHIN ST, MOBILE, AL 36604-2511
(251) 404-4427

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-12437
MS

Other

Enumeration date
04/28/2016
Last updated
04/28/2016
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