Individual
STEPHANIE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
695 BULLY BLVD, MISSISSIPPI STATE, MS 39762
(662) 325-0152
Mailing address
PO BOX 6338, MISSISSIPPI STATE, MS 39762-6338
(662) 325-0152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
220088
MS
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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