Calie Marie Alsobrooks

Individual provider Active NPI Behavior Technician · Picayune, MS

NPI 1548091549 · NPPES record last updated Aug 12, 2024

Key facts

NPI
1548091549
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2007 Wildwood Dr
Picayune, MS 39466-2178
Phone
(228) 369-7747
NPI assigned
Aug 12, 2024
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2007 Wildwood Dr
Picayune, MS 39466-2178

Mailing address

192 Pine Grove Rd
Picayune, MS 39466-9005
Phone (985) 285-8485

Other providers in Picayune, MS

All providers in Picayune, MS · Behavior Technician in Mississippi

Sources for this page

Verify at the official NPI Registry.