Individual
VICTORIA NICOLE FIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 310-5883
Mailing address
1320 CARMICHAEL WAY, MONTGOMERY, AL 36106-3691
(334) 310-5883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9431466
—
AL
Enumeration date
09/27/2022
Last updated
09/27/2022
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