Individual
IVY ELIZABETH ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 S THREE NOTCH ST, ANDALUSIA, AL 36420-5310
(334) 658-8831
Mailing address
822 S THREE NOTCH ST, ANDALUSIA, AL 36420-5310
(334) 658-8831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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