Individual
MS. KELLY MIZE AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 795-3242
Mailing address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 795-3242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7788
—
Other
Enumeration date
05/21/2012
Last updated
08/19/2021
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