Individual
MRS. GLORIA VILLASENOR TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 N MAIN AVE, SYLACAUGA, AL 35150-1648
(256) 252-7902
Mailing address
35 MARTIN LN, MUNFORD, AL 36268-5393
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB780876
AL
Other
Enumeration date
03/15/2022
Last updated
12/18/2025
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