Individual
MRS. TANECIA AVRIL RUTH FOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 WYNN DR NW, HUNTSVILLE, AL 35805-1961
(256) 882-2457
(256) 882-2459
Mailing address
306 WYNN DR NW, HUNTSVILLE, AL 35805-1961
(256) 882-2457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-245929
AL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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