Healthcare Provider Details

I. General information

NPI: 1922930817
Provider Name (Legal Business Name): THE BEHAVIOR AGENCY ALABAMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E I65 SERVICE RD S STE 104-100
MOBILE AL
36606-3112
US

IV. Provider business mailing address

1111 E I65 SERVICE RD S STE 104-100
MOBILE AL
36606-3112
US

V. Phone/Fax

Practice location:
  • Phone: 267-475-8240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: NICOLE FLOYD
Title or Position: OWNER
Credential: BCBA
Phone: 267-475-8240