Individual
DIANA TINDOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2543 ROSS CLARK CIRCLE, SUITE 5, ENTERPRISE, AL 36330-3633
(334) 699-4007
Mailing address
2543 ROSS CLARK CIRCLE, SUITE 5, ENTERPRISE, AL 36330
(334) 324-7685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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