| Beacon Of Hope | |
|
181 W Reynolds St Ozark AL 36360-1438 | |
| (334) 379-0729 | |
| Not Available |
| Full Name | Beacon Of Hope |
|---|---|
| Speciality | Behavior Technician |
| Location | 181 W Reynolds St, Ozark, Alabama |
| Authorized Official Name and Position | Athena Williamson (REGISTERED BEHAVIORAL TECHNICIAN) |
| Authorized Official Contact | 3348044476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Of Hope 20101 Nelson Rd Andalusia AL 36421-7659 Ph: (334) 804-4476 | Beacon Of Hope 181 W Reynolds St Ozark AL 36360-1438 Ph: (334) 379-0729 |
| NPI Number | 1659060820 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659060820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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