Provider Demographics
NPI:1417732942
Name:MINTON, ALAYNA KATE (RBT)
Entity Type:Individual
Prefix:
First Name:ALAYNA
Middle Name:KATE
Last Name:MINTON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674-1935
Mailing Address - Country:US
Mailing Address - Phone:256-275-7089
Mailing Address - Fax:256-826-1833
Practice Address - Street 1:105 W 2ND ST
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674-1935
Practice Address - Country:US
Practice Address - Phone:256-275-7089
Practice Address - Fax:256-826-1833
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRBT-23-295265106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician