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Beverly Johnson, IDDWAIVERSERVICES
Day Training/Habilitation Specialist in Waynesboro, Mississippi
NPI 1902521362

Beverly Johnson is a Day Training/Habilitation Specialist based in Hattiesburg, MS. Beverly Johnson practices in Waynesboro, MS and has the professional credentials of IDDWAIVERSERVICES. The NPI Number for Beverly Johnson is 1902521362 and holds a License No. (Mississippi).

The current practice location address for Beverly Johnson is 1406 Mississippi Dr, Waynesboro, MS and can be reached out via phone at 601-735-2958.

Location: 1406 Mississippi Dr, Waynesboro, MS, 39404-8679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902521362
Provider Name
Beverly Johnson
Credential
IDDWAIVERSERVICES
Provider Entity Type
Individual
Gender
Female
Address
1406 Mississippi Dr, Waynesboro, MS, 39404-8679
Phone Number
601-735-2958
Fax Number
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1406 Mississippi Dr
City
Waynesboro
State
Mississippi
Zip
39367-8901
Phone Number
601-735-2958
Fax Number
person
Provider Business Mailing Address Details
Address
1406 Mississippi Dr
City
Waynesboro
State
Mississippi
Zip
39367-8901
Phone Number
601-735-2958
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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