Healthcare Provider Details

I. General information

NPI: 1982126868
Provider Name (Legal Business Name): ABRY ANNE STOPPER M.A., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 07/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5451 ABLE CT
MOBILE AL
36693-3100
US

IV. Provider business mailing address

320 STANTON RD APT 735
MOBILE AL
36617-2463
US

V. Phone/Fax

Practice location:
  • Phone: 251-649-4420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: