=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932063609
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DARBY MIDDLETON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2025
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4229 U S HIGHWAY 11
-----------------------------------------------------
City | HATTIESBURG
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39402-8024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-447-4658
-----------------------------------------------------
Fax | 855-948-4200
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 77 SAINT ANNES DR
-----------------------------------------------------
City | HATTIESBURG
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39401-8252
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-447-4658
-----------------------------------------------------
Fax | 855-948-4200
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number | RBT-25-498654
-----------------------------------------------------
License Number State |
-----------------------------------------------------