Healthcare Provider Details

I. General information

NPI: 1811801004
Provider Name (Legal Business Name): NICHOLAS HAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 20TH ST N
BIRMINGHAM AL
35203-3644
US

IV. Provider business mailing address

429 36TH ST
NORTHPORT AL
35473-2787
US

V. Phone/Fax

Practice location:
  • Phone: 813-847-5121
  • Fax:
Mailing address:
  • Phone: 813-847-5121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: