Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003040684 |
---|---|
Provider Name | Mrs. Courtney Cagle Stewart |
First Address | Birmingham, AL 35242-2956 |
Second Address | Birmingham, AL 35242-2956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 02/08/2012 |