NPI 1104790377

Samuel Maison

Practitioner Behavior Technician Ridgeland, MS

Practice location

Address: 402b Legacy Park, Ridgeland, MS 39157-4315
Phone: (769) 233-7154

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Mississippi →

Registry record

NPI: 1104790377
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2025
Record last updated: 24 Oct 2025

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.