Individual
CHRIS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
256 HONEYSUCKLE RD STE 4, DOTHAN, AL 36305-1168
(334) 792-5020
Mailing address
2607 W LINDA LN, DOTHAN, AL 36303-1056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-50768
AL
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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