Individual
GIJUAN YVETTE PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 CAHABA VALLEY DR, BIRMINGHAM, AL 35242-2602
(205) 847-0779
Mailing address
2233 CAHABA VALLEY DR, BIRMINGHAM, AL 35242-2602
(205) 847-0779
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1989176
AL
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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