Individual
RETHA LEEANN DEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
511 BRANTLEY ST, OPP, AL 36467-1702
(334) 493-5712
Mailing address
32422 HUB RD, DOZIER, AL 36028-7613
(334) 804-7482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-394587
AL
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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