Organization
JAMES P. GARDEPE
Active
Other names
Applied Behavior Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PRESTON GARDEPE PH.D. (OWNER)
(256) 882-2004
Entity
Organization
Contact information
Practice address
915 WILLOWBROOK DR SE, SUITE C, HUNTSVILLE, AL 35802-3262
(256) 882-2004
Mailing address
915 WILLOWBROOK DR SE, SUITE C, HUNTSVILLE, AL 35802-3262
(256) 882-2004
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
523
AL
103TB0200X
Cognitive & Behavioral Psychologist
523
AL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
523
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51074448GAR
BC/BS OF ALABAMA
AL
05
—
529400650
—
AL
Enumeration date
02/14/2008
Last updated
06/19/2008
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