Healthcare Provider Details

I. General information

NPI: 1376447219
Provider Name (Legal Business Name): FLOURISH BEHAVIORAL ABA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 YELLOW POPLAR LN
HARVEST AL
35749-4806
US

IV. Provider business mailing address

105 YELLOW POPLAR LN
HARVEST AL
35749-4806
US

V. Phone/Fax

Practice location:
  • Phone: 256-348-1245
  • Fax:
Mailing address:
  • Phone: 256-479-7170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAULA R ERSKINE
Title or Position: OWNER
Credential:
Phone: 256-348-1016