Heather Renee Fairley, RBT Valid NPI
Individual provider · Behavior Technician · Hattiesburg, MS
- NPI
- 1144787151
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- 18-47592 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-02-26
- Last updated
- 2019-02-26
Practice location
32 Millbranch Rd Ste 40
Hattiesburg, MS 39402-1673
(601) 255-5264