Anderson, Asyeona Azaria Alyss
Anderson, Asyeona Azaria Alyss is an individual health care provider with primary practice located at 4229 U S Highway 11 , Hattiesburg MS 39402-8024. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Anderson, Asyeona Azaria Alyss can be contacted via phone (601) 447-4658.Contact Information
Primary practice address
4229 U S Highway 11
Hattiesburg MS 39402-8024
Phone: (601) 447-4658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT22242719 | Mississippi |
Profile Details
| NPI number | 1740055730 |
|---|---|
| LBN Legal business name | Anderson, Asyeona Azaria Alyss |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2023 |
| Last updated | Nov 20th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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