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NPI 1003172149ActiveOrganization· Early Intervention Provider Agency· Jackson, MS

Early Intervention Provider Agency in Jackson, Mississippi, registered in NPPES in April 2012. The authorized official on file is Ajuanzie Lucianna Ross-Johnson, CCC-SLP, Speechpathologist.

Overview

NPI1003172149
StatusActive
Entity typeOrganization
NPI issuedApr 3, 2012
Last updated in NPPESApr 3, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Early Intervention Provider Agency Primary252Y00000XS3090MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Early Intervention Provider Agency providers in Jackson

All Early Intervention Provider Agency providers in Mississippi