Individual
NICOLE CRABTREE MISHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.E., B.C.B.A.
Contact information
Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Mailing address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11780
AL
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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