Whalio Doctors

NPI 1104475854

Artesia Richmond

Practitioner Behavior Technician Jackson, MS

Practice location

Address
2510 Lakeland Ter, Jackson, MS 39216-4702
Phone
(601) 982-7827
Fax
(601) 822-0303

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 19-94502 (MS)

Registry record

NPI
1104475854
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Sep 2019
Record last updated
5 Sep 2019

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.