NPI 1104166776

Jackson Autism Center

Organisation Behavior Analyst Jackson, MS

Practice location

Address: 314 Colonial Cir, Jackson, MS 39211-4213
Phone: (769) 218-9596

Authorised official

Name: Rebecca Mullican
Title: Behavior Interventionist
Phone: (769) 218-9596

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Mississippi →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1104166776
Entity type: Organization
NPI issued: 19 Feb 2013
Record last updated: 19 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.