Healthcare Provider Details

I. General information

NPI: 1528975372
Provider Name (Legal Business Name): MISS ALEXIS RIHANNA HAMM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS BRIELLE JANAE RICH

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8149 OLD FEDERAL RD
MONTGOMERY AL
36117-8009
US

IV. Provider business mailing address

2600 VAUGHN LAKES BLVD APT 523
MONTGOMERY AL
36117-4624
US

V. Phone/Fax

Practice location:
  • Phone: 205-490-5364
  • Fax:
Mailing address:
  • Phone: 334-759-0787
  • 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: