Individual
MISS KIMBERLEE DANIELLE RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
1051 OAK MOUNTAIN DR, PELHAM, AL 35124-1324
(205) 582-8895
(205) 319-1922
Mailing address
1051 OAK MOUNTAIN DR, PELHAM, AL 35124-1324
(205) 582-8895
(205) 319-1922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017-082
AL
Other
Enumeration date
02/06/2018
Last updated
07/27/2022
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