Individual
DR. KIMBERLY PALMER RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D
Contact information
Practice address
2001 N. WEST ST., JACKSON, MS 39202-1037
(601) 709-5526
(601) 709-5527
Mailing address
2001 NORTH WEST ST., JACKSON, MS 39202-1037
(601) 709-5526
(601) 709-5527
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-00-00351
—
103T00000X
Psychologist
Primary
36618
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119527
—
MS
Enumeration date
01/04/2007
Last updated
12/19/2013
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