Gaby Laverne Johnson
Individual provider Active NPI Early Intervention Provider Agency · Shaw, MS
NPI 1043090194 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1043090194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 32 Shaw Skene Rd
Shaw, MS 38773-9502 - Phone
- (662) 721-6438
- NPI assigned
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | MS | Yes |
Addresses
Primary practice location
32 Shaw Skene Rd
Shaw, MS 38773-9502
Mailing address
PO Box 747
Boyle, MS 38730-0747
Phone (662) 721-6438
Other providers in Shaw, MS
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- Regina Jonelle Evans
- Forever Youthful Adult Educational and Recreational Center
- Nora Cecelia Gough-Davis
- Key Behavior Solutions Consulting Group (KBS)
- Life Savers Assisted Living LLC
- Making Moves in the Community, Incorporated
- Making Moves in the Community, Incorporated
- Maximum Care After Hours Clinic, LLC
All providers in Shaw, MS · Early Intervention Provider Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.