NPI 1053149872

Miracle Annzette Bryant

Practitioner Behavior Technician Ocean Springs, MS

Practice location

Address: 1104 Hanley Rd, Ocean Springs, MS 39564-3118
Phone: (718) 215-5311
Fax: (718) 865-5165

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-363370 (MS)

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Registry record

NPI: 1053149872
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2024
Record last updated: 23 Jul 2024

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.