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Individual

FELICIA ANNETTE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2314 6TH AVE SE STE D, DECATUR, AL 35601-6565
(256) 686-3169
(800) 607-1947
Mailing address
2314 6TH AVE SE STE D, DECATUR, AL 35601-6565
(256) 686-3169
(800) 607-1947

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-177424
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21-177424
RBT CERTIFICATION
AL
Enumeration date
08/04/2021
Last updated
08/04/2021
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