Individual
ANDREA REVAE HERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
114 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7286
(334) 491-3020
Mailing address
5392 MASON RD, HOPE HULL, AL 36043-5905
(334) 504-0108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019-010
AL
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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