Individual
MAKAILA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7300 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5839
(662) 448-3232
(662) 490-3723
Mailing address
7300 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5839
(662) 448-3232
(662) 490-3723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-417786
MS
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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