Healthcare Provider Details

I. General information

NPI: 1477469476
Provider Name (Legal Business Name): MARLEY STOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 AZALEA RD
MOBILE AL
36609-1515
US

IV. Provider business mailing address

133 LAKE FRONT DR APT 3901
DAPHNE AL
36526-7679
US

V. Phone/Fax

Practice location:
  • Phone: 251-422-1827
  • Fax:
Mailing address:
  • Phone: 251-422-1827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: