Healthcare Provider Details

I. General information

NPI: 1144159286
Provider Name (Legal Business Name): SYDNEY ELISE WEED RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 GRANT ST SE
DECATUR AL
35601-2511
US

IV. Provider business mailing address

2026 JEFFERSON AVE SW
DECATUR AL
35603-1048
US

V. Phone/Fax

Practice location:
  • Phone: 772-521-4463
  • Fax:
Mailing address:
  • Phone: 772-521-4463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26535093
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: