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1629452461
JENNIFER WYATT
SOUTHAVEN, MS
NPI
1629452461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MS 1-14-17227)
Enumeration Date
2015-07-10
Last Update Date
2015-07-10
Business Address
Mrs. JENNIFER WYATT BCBA
6858 SWINNEA RD 4 RUTLAND PLACE
SOUTHAVEN, MS 38671-9493
Phone number: 662-772-5937
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Mailing Address
Mrs. JENNIFER WYATT BCBA
10569 RHAPSODY CV
WALLS, MS 38680-6001
Phone number: 901-496-6215
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