| Shaping Brighter Futures | |
|
102 Hillside Dr Jacksonville AL 36265-6482 | |
| (334) 447-9736 | |
| Not Available |
| Full Name | Shaping Brighter Futures |
|---|---|
| Speciality | Behavior Analyst |
| Location | 102 Hillside Dr, Jacksonville, Alabama |
| Authorized Official Name and Position | Candice Nicole Hall (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 3344479736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Brighter Futures Po Box 310323 Enterprise AL 36331-0323 Ph: (334) 447-9736 | Shaping Brighter Futures 102 Hillside Dr Jacksonville AL 36265-6482 Ph: (334) 447-9736 |
| NPI Number | 1003279878 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003279878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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