Healthcare Provider Details

I. General information

NPI: 1902712177
Provider Name (Legal Business Name): BRITTANY AMBER HAYS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 S FIRST ST NE
BROOKHAVEN MS
39601-4762
US

IV. Provider business mailing address

1094 S FIRST ST NE
BROOKHAVEN MS
39601-4762
US

V. Phone/Fax

Practice location:
  • Phone: 601-823-4422
  • Fax: 601-823-4424
Mailing address:
  • Phone: 601-823-4422
  • Fax: 601-823-4424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26-2838719
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: