Individual
PALACE ISABELLA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 MALL RD, FLORENCE, AL 35630-2869
(256) 202-4885
Mailing address
2460 MALL RD, FLORENCE, AL 35630-2869
(256) 202-4885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-522172
AL
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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