Individual
LINDSEY BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7125 HITT RD, MOBILE, AL 36695-4431
(251) 422-1827
Mailing address
7125 HITT RD, MOBILE, AL 36695-4431
(251) 422-1827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2020-25
AL
106S00000X
Behavior Technician
RBT-18-53114
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84286940
BCBS, TRICARE, BEACON, ALL KIDS
AL
01
—
RBT-18-53114
REGISTERED BEHAVIOR TECHNICIAN
—
Enumeration date
11/06/2018
Last updated
06/22/2020
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