Individual
TIANA PHYLLIS KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 20TH ST N, BIRMINGHAM, AL 35203-3644
(855) 832-6727
Mailing address
1100 HARGROVE RD E UNIT 614, TUSCALOOSA, AL 35405-1655
(404) 988-8110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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