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USDR BEHAVIORAL SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UDARIKA ROSS (EXECUTIVE DIRECTOR/ OWNER)
(601) 720-4837
Entity
Organization

Contact information

Practice address
962 NORTH ST, JACKSON, MS 39202-2614
(769) 235-8278
(601) 368-6572
Mailing address
311 CLINTON BLVD STE F, CLINTON, MS 39056-5254
(769) 235-8278
(601) 368-6572

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
04/18/2025
Last updated
12/18/2025
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