Individual
CASEY ELIZABETH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
106 EVENING SHADE, HARVEST, AL 35749-4875
(256) 651-3972
Mailing address
106 EVENING SHADE, HARVEST, AL 35749-4875
(256) 651-3972
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7780
AL
Other
Enumeration date
08/27/2012
Last updated
03/29/2017
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