Individual
SHONTRESSA DENISE GINWRIGHT RANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W TUSCALOOSA ST, FLORENCE, AL 35630-5428
(256) 202-4885
(833) 442-3336
Mailing address
850 N ROYAL AVE, FLORENCE, AL 35630-3559
(404) 641-1154
(404) 641-1154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7821
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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