Individual
DEIDRA BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
385 NAIL RD APT I100, SOUTHAVEN, MS 38671-7264
(662) 739-2485
Mailing address
385 NAIL RD APT I100, SOUTHAVEN, MS 38671-7264
(662) 739-2485
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
01/16/2024
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