Autry, Kelly Mize
Autry, Kelly Mize is an individual health care provider with primary practice located at 150 Glenwood Ln , Birmingham AL 35242-5700. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Autry, Kelly Mize can be contacted via phone (205) 795-3242.Contact Information
Primary practice address
150 Glenwood Ln
Birmingham AL 35242-5700
Phone: (205) 795-3242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-10-7788 |
Profile Details
| NPI number | 1205196557 |
|---|---|
| LBN Legal business name | Autry, Kelly Mize |
| Credentials | M.S., BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2012 |
| Last updated | Aug 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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