Healthcare Provider Details

I. General information

NPI: 1326957309
Provider Name (Legal Business Name): FELIX NETHERLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1590 ARCHERS COVE WAY
SPRINGVILLE AL
35146-3060
US

IV. Provider business mailing address

1590 ARCHERS COVE WAY
SPRINGVILLE AL
35146-3060
US

V. Phone/Fax

Practice location:
  • Phone: 404-510-4488
  • Fax:
Mailing address:
  • Phone: 404-510-4488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number106E00000X
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: