Individual
ETHAN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAABA
Contact information
Practice address
409 BARN WOOD RD, TUSCALOOSA, AL 35405-6631
(916) 889-4610
Mailing address
409 BARN WOOD RD, TUSCALOOSA, AL 35405-6631
(916) 889-4610
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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