Healthcare Provider Details

I. General information

NPI: 1255255790
Provider Name (Legal Business Name): M'LEIGH FAITH BUDINICH RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MARKS RD
OCEAN SPRINGS MS
39564-4351
US

IV. Provider business mailing address

1 MARKS RD
OCEAN SPRINGS MS
39564-4351
US

V. Phone/Fax

Practice location:
  • Phone: 228-215-3927
  • Fax: 228-215-3947
Mailing address:
  • Phone: 228-215-3927
  • Fax: 228-215-3947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2835914
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: