BEVERLY JOHNSON, IDD WAIVER SERVICES

Day Training/Habilitation Specialist

Active Individual
NPI: 1902521362

Practice Address

1406 MISSISSIPPI DR
Waynesboro, MS 39367

Phone: (601) 735-2958

Specialties

Specialty Code Primary License
Day Training/Habilitation Specialist 373H00000X Yes -

Frequently Asked Questions

NPI 1902521362 is the National Provider Identifier for BEVERLY JOHNSON, IDD WAIVER SERVICES, a Day Training/Habilitation Specialist provider located in Waynesboro, MS. This NPI was enumerated on October 7, 2022.
BEVERLY JOHNSON, IDD WAIVER SERVICES practices at 1406 MISSISSIPPI DR, Waynesboro, MS 39367.

Quick Facts

NPI
1902521362
Type
Individual
Enumerated
Oct 7, 2022
Last Updated
Oct 7, 2022

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