Organization
UNIQUELY DIFFERENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA BAER BCBA (CO-OWNER)
(205) 492-9671
Entity
Organization
Contact information
Practice address
1002 MCFARLAND BLVD STE G, NORTHPORT, AL 35476-3350
(205) 492-9671
Mailing address
5023 CARROLL ST, NORTHPORT, AL 35475-4488
(205) 492-9671
(205) 210-5542
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134362577
TRICARE
AL
Enumeration date
12/16/2014
Last updated
12/16/2014
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