Individual
KALEB ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
(334) 792-5020
Mailing address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
(334) 792-5020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-263913
AL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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