Marshall Devolopmental Therapy Services INC
NPI #1376188086 in Walnut Grove, Mississippi
Provider Information
- NPI Number
- 1376188086
- Entity Type
- Organization
- Organization Name
- Marshall Devolopmental Therapy Services INC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Nov 18, 2019
- Last Updated
- Dec 9, 2019
Practice Location
- Address
- 308 ESTES MILL RD
- City
- Walnut Grove
- State
- Mississippi
- ZIP Code
- 39189-5043
- Phone
- (317) 388-8131
Authorized Official
- Name
- MRS. ANGELICA N GRAY, BCBA
- Title
- PRINCIPLE
- Phone
- (317) 388-8131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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