Derrien Shayla Avery

NPI #1508556242 in Biloxi, Mississippi

Provider Information

NPI Number: 1508556242
Entity Type: Individual
Name: Derrien Shayla Avery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 8, 2023
Last Updated: May 8, 2023

Practice Location

Address: 2541 PASS RD STE A
City: Biloxi
State: Mississippi
ZIP Code: 39531-2112
Phone: (850) 607-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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