NPI 1104500859

Mariah Usry Pace

Practitioner Behavior Technician Jackson, MS

Practice location

Address: 1513 Lakeland Dr, Jackson, MS 39216-4829
Phone: (601) 352-7784
Mailing address: 1109 S Main St, Newton, MS 39345-4035

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Mississippi →

Registry record

NPI: 1104500859
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2023
Record last updated: 13 Jun 2023

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.