# BEHAVIORAL PEDIATRIC INSTITUTE OF ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639426729
- **Authorized official:** STEPHANIE BETHKE STOLL PH.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (205) 414-6686

## Contact information

- **Practice address:** 4 OFFICE PARK CIR STE 215A, MOUNTAIN BRK, AL 35223-2533
- **Practice address phone:** (205) 414-6686
- **Mailing address:** 4 OFFICE PARK CIR STE 215A, MOUNTAIN BRK, AL 35223-2533
- **Mailing address phone:** (205) 414-6686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1106821 | AL | — |
| 103K00000X | Behavior Analyst | 11211750 | AL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1404 | AL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1715 | AL | — |

## Other

- **Enumeration date:** 08/08/2012
- **Last updated:** 08/08/2012