Provider Demographics
NPI:1649949751
Name:ALABAMA DEVELOPMENTAL AND BEHAVIORAL SPECIALISTS
Entity type:Organization
Organization Name:ALABAMA DEVELOPMENTAL AND BEHAVIORAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEEHY-KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-530-1235
Mailing Address - Street 1:PO BOX 190455
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35219-0455
Mailing Address - Country:US
Mailing Address - Phone:205-530-1235
Mailing Address - Fax:
Practice Address - Street 1:100 CONCOURSE PKWY STE 303
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1881
Practice Address - Country:US
Practice Address - Phone:205-530-1235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty