Provider Demographics
NPI:1376149419
Name:PERRY, EUGENIA COMPTON (BCBA)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:COMPTON
Last Name:PERRY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SHADOW WOOD PARK STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3411
Mailing Address - Country:US
Mailing Address - Phone:205-733-0976
Mailing Address - Fax:
Practice Address - Street 1:9726 OLD GREENSBORO RD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-8659
Practice Address - Country:US
Practice Address - Phone:205-733-0976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2020-088103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst