Individual
KIMBERLY WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7116 UNIVERSITY CT, MONTGOMERY, AL 36117-8045
(334) 491-0078
Mailing address
7116 UNIVERSITY CT, MONTGOMERY, AL 36117-8045
(334) 491-0078
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-534220
AL
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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