Individual
MR. KEVIN O'NEAL FORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRSS
Contact information
Practice address
16 PECAN LN, LONG BEACH, MS 39560-3622
(228) 546-1155
Mailing address
16 PECAN LN, LONG BEACH, MS 39560-3622
(228) 546-1155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
175T00000X
Peer Specialist
Primary
—
MS
Other
Enumeration date
06/20/2013
Last updated
03/29/2026
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