Individual
KEANDREA LADELL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 746-0756
Mailing address
100 MCQUEEN SMITH RD S APT H6, PRATTVILLE, AL 36066-5572
(334) 274-3321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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