Individual
STEPHANIE N TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6169 US HIGHWAY 11, SPRINGVILLE, AL 35146-4056
(205) 607-1590
Mailing address
1499 RAY WYATT RD, ASHVILLE, AL 35953-6348
(205) 607-1590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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