NPI 1194441154

Julia Kelly Nusbaum, RBT

Practitioner Behavior Analyst Jackson, MS

Practice location

Address: 4400 Old Canton Rd STE 300, Jackson, MS 39211-5982
Phone: (601) 815-2005
Mailing address: 504 Clinton Center Drive Cbo - Suite 4300, Clinton, MS 39056-5610

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 220034 (MS)

Other Behavior Analyst providers in Mississippi →

Registry record

NPI: 1194441154
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2022
Record last updated: 12 Oct 2022

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.