| Shaping Behaviors Therapy | |
|
200 Riverview Rd Bay St Louis MS 39520-8867 | |
| (228) 344-5011 | |
| Not Available |
| Full Name | Shaping Behaviors Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 200 Riverview Rd, Bay St Louis, Mississippi |
| Authorized Official Name and Position | Judy Mae Sevillano Dodson (BCBA/OWNER) |
| Authorized Official Contact | 2283445011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Behaviors Therapy 200 Riverview Rd Bay St Louis MS 39520-8867 Ph: (228) 344-5011 | Shaping Behaviors Therapy 200 Riverview Rd Bay St Louis MS 39520-8867 Ph: (228) 344-5011 |
| NPI Number | 1669320388 |
|---|---|
| Provider Enumeration Date | 03/18/2026 |
| Last Update Date | 03/18/2026 |
| Certification Date | 03/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669320388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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