Gulfport Premier ABA LLC
Organization Active NPI Behavior Analyst · Gulfport, MS
NPI 1285239590 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1285239590
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- GULFPORT PREMIER ABA LLC
- Practice address
- 928 Courthouse Rd Unit 3
Gulfport, MS 39507-4110 - Phone
- (228) 229-8297
- NPI assigned
- Dec 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Gregory Stanford, BCBS, LBA
- Title
- Co-Owner
- Phone
- (228) 229-8297
Practitioners 1
-
Gregory C Stanford, BCBA, LBA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes | ||
| Assistant Behavior Analyst |
106E00000X | |||
| Behavior Technician |
106S00000X |
Addresses
Primary practice location
928 Courthouse Rd Unit 3
Gulfport, MS 39507-4110
Mailing address
928 Courthouse Rd Unit 3
Gulfport, MS 39507-4110
Phone (228) 229-8297
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All providers in Gulfport, MS · Behavior Analyst in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. 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.