| Wfr Behavioral One, Llc | |
|
1025 Montgomery Hwy Suite #214 Vestavia AL 35216-2845 | |
| (205) 233-1414 | |
| (205) 822-2732 |
| Full Name | Wfr Behavioral One, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1025 Montgomery Hwy, Vestavia, Alabama |
| Authorized Official Name and Position | William Richardson (OWNER/SCHOOL PSYCHOLOGIST) |
| Authorized Official Contact | 2052331414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wfr Behavioral One, Llc 1025 Montgomery Hwy Suite #214 Vestavia AL 35216-2845 Ph: (205) 233-1414 | Wfr Behavioral One, Llc 1025 Montgomery Hwy Suite #214 Vestavia AL 35216-2845 Ph: (205) 233-1414 |
| NPI Number | 1083086052 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083086052 | NPI | - | NPPES |
| 1588615918 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-19295 (Alabama) | Primary |
| 103TS0200X | Psychologist - School | WXR-01058632 (Alabama) | Secondary |
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