Charity Burt
Individual provider Active NPI Behavior Technician · Ridgeland, MS
NPI 1730901604 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1730901604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 402B Legacy Park
Ridgeland, MS 39157-4315 - Phone
- (769) 233-7154
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Behavior Therapy | Current |
Accepting new patients |
Locations
402B Legacy Park
Ridgeland, MS 39157
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
402B Legacy Park
Ridgeland, MS 39157-4315
Mailing address
124 Hunt Cir
Madison, MS 39110-9536
Other providers in Ridgeland, MS
- John Burnett III
- Howard J Burns
- Osheyauna Burns
- Melody Michal Burrage
- Burrage'S Inc
- Ashton Noelle Burton
- Kristal Burton
- Meghan J Butler
- Kayleigh M Byrd
- Taylor Kristen Byrd
All providers in Ridgeland, MS · Behavior Technician 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 30, 2024. 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.