Fitzgerald, Amanda Grace
Fitzgerald, Amanda Grace is an individual health care provider with primary practice located at 4778 Overton Rd , Birmingham AL 35210-3803. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fitzgerald, Amanda Grace can be contacted via phone (205) 957-0294.Contact Information
Primary practice address
4778 Overton Rd
Birmingham AL 35210-3803
Phone: (205) 957-0294
Fax: (205) 957-0298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-20-134634 | Alabama |
Profile Details
| NPI number | 1730794488 |
|---|---|
| LBN Legal business name | Fitzgerald, Amanda Grace |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2020 |
| Last updated | Sep 10th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730794488 | NPPES |
| Alabama | Other | RBT-20-134634 | BACB CERTIFICATION FOR RBT |
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