Healthcare Provider Details
I. General information
NPI: 1467365049
Provider Name (Legal Business Name): JEWEL TAYLOR HESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
609 N HOOK ST
TUSCUMBIA AL
35674-1801
US
IV. Provider business mailing address
609 N HOOK ST
TUSCUMBIA AL
35674-1801
US
V. Phone/Fax
- Phone: 205-294-5194
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | 9718850 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: