| Southeast Alabama Autism Center | |
|
210 E Grubbs St Suite 1 Enterprise AL 36330-2646 | |
| (334) 360-1158 | |
| Not Available |
| Full Name | Southeast Alabama Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 210 E Grubbs St, Enterprise, Alabama |
| Authorized Official Name and Position | Nicole Slay (BCBA) |
| Authorized Official Contact | 3343601158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Alabama Autism Center 1871 Highway 2 Westville FL 32464-3025 Ph: (334) 360-1158 | Southeast Alabama Autism Center 210 E Grubbs St Suite 1 Enterprise AL 36330-2646 Ph: (334) 360-1158 |
| NPI Number | 1245653989 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245653989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-06-2863 (Florida) | Primary |
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