Individual
MR. BRETT KINSAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2543 ROSS CLARK CIR, DOTHAN, AL 36301-4925
(334) 699-4007
Mailing address
2543 ROSS CLARK CIR, DOTHAN, AL 36301-4925
(334) 699-4007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133086
—
AL
Enumeration date
05/26/2021
Last updated
05/26/2021
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