Provider Demographics
NPI:1184509382
Name:LADNER, PERRIS (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:PERRIS
Middle Name:
Last Name:LADNER
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-3757
Mailing Address - Country:US
Mailing Address - Phone:267-664-9820
Mailing Address - Fax:
Practice Address - Street 1:911 BROWN ST
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-3757
Practice Address - Country:US
Practice Address - Phone:267-664-9820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS251040103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst