| Footsteps Of Change, Inc. | |
|
105 Dartmouth Dr Madison AL 35757-7445 | |
| (815) 981-8012 | |
| Not Available |
| Full Name | Footsteps Of Change, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 105 Dartmouth Dr, Madison, Alabama |
| Authorized Official Name and Position | Elizabeth T Van Dorn (OWNER) |
| Authorized Official Contact | 8159818012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footsteps Of Change, Inc. Po Box 1522 Madison AL 35758-5403 Ph: (815) 981-8012 | Footsteps Of Change, Inc. 105 Dartmouth Dr Madison AL 35757-7445 Ph: (815) 981-8012 |
| NPI Number | 1255626479 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255626479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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