Individual
KARA ETHEREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3124 W MAIN ST STE 9, DOTHAN, AL 36305-1181
(334) 714-3696
Mailing address
3124 W MAIN ST STE 9, DOTHAN, AL 36305-1181
(334) 714-3696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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