Individual
DWANYA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3721 6TH AVE S, BIRMINGHAM, AL 35222-2409
(205) 795-3240
Mailing address
3721 6TH AVE S, BIRMINGHAM, AL 35222-2409
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-171378
AL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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