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1790130631
ELISSA PARKER
DIBERVILLE, MS
NPI
1790130631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MS RBT-16-12437)
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
-- ELISSA PARKER RBT
4061 SUZANNE DR SUITE C AND D
DIBERVILLE, MS 39540-3735
Phone number: 228-396-4434
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Mailing Address
-- ELISSA PARKER RBT
1121 DAUPHIN ST
MOBILE, AL 36604-2511
Phone number: 251-404-4427
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