Individual provider · Type 1 NPI

Beverly Johnson, IDD WAIVER SERVICES

Day Training/Habilitation Specialist · Waynesboro, MS

NPI number 1902521362 Active

Practice location

1406 Mississippi Dr
Waynesboro, MS 39367-8901

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: 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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About NPI 1902521362

Beverly Johnson, IDD WAIVER SERVICES's National Provider Identifier is 1902521362, issued on Oct 7, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Waynesboro, MS. The record was last updated on Oct 7, 2022.