Behavioral Pediatric Institute of Alabama

NPI #1639426729 in Mountain Brk, Alabama

Provider Information

NPI Number: 1639426729
Entity Type: Organization
Organization Name: Behavioral Pediatric Institute of Alabama
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 8, 2012
Last Updated: Aug 8, 2012

Practice Location

Address: 4 OFFICE PARK CIR STE 215A
City: Mountain Brk
State: Alabama
ZIP Code: 35223-2533
Phone: (205) 414-6686

Authorized Official

Name: STEPHANIE BETHKE STOLL, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (205) 414-6686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X

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