Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Haven

Organization Behavior Analyst · NPI 1043858053

Pediatric Haven is a Behavior Analyst in Madison, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
9
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Practice location Address checks out

102 Lexington Dr
Madison, MS 39110-6952
Phone: (601) 499-6696
Fax: (601) 499-6696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X
Behavior Analyst Taxonomy 103K00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Medically Fragile Infants and Children Day Care Taxonomy 261QM3000X
Pediatric Skilled Nursing Facility Taxonomy 3140N1450X
Child Mental Illness Respite Care Taxonomy 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X
Child Physical Disabilities Respite Care Taxonomy 385HR2065X

Record details

NPI number1043858053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jetuwan Brown — Managing Partner · (601) 622-2997
Other names Pediatric Haven Autism Center
NPI enumeratedDecember 20, 2019
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address103 Honours Dr, Madison, MS 39110-6513

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