Individual
MADISON ARANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1094 S FIRST STREET, BROOKHAVEN, MS 39601
(601) 823-4422
Mailing address
1094 S FIRST STREET, BROOKHAVEN, MS 39601
(601) 823-4422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-438593
MS
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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