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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEVERLY JOHNSON, IDD WAIVER SERVICES

Active

BEVERLY JOHNSON, IDD WAIVER SERVICES is a Day Training/Habilitation healthcare provider located in WAYNESBORO, Mississippi. NPI 1902521362 is currently active in the NPPES registry. Verify at CMS.

Day Training/Habilitation · WAYNESBORO, MS

Registration Details

NPI Number
1902521362
Provider Type
Individual
Gender
Female
NPI Issued
Oct 7, 2022 (3.860203417322 yrs)
Last Updated
Oct 7, 2022

Practice Information

Address
1406 MISSISSIPPI DR
WAYNESBORO, MS, 393678901
Browse MS providers · Browse ZIP 39367
Phone
6017352958
Primary Specialty
Day Training/Habilitation
373H00000X

Other Day Training/Habilitation Providers in WAYNESBORO, MS

Name Credential NPI
TAMMY BEAL 1821712324
TANGLE DANIELS IDD SERVICES 1639894207
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.