Individual
MS. CAROL DIANE VANCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
100 JETPLEX BLVD SW, HUNTSVILLE, AL 35824-2216
(256) 464-8405
(256) 837-1838
Mailing address
203 MAJESTIC CT, HUNTSVILLE, AL 35806-4235
(256) 837-1838
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2786
AL
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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