MEDICARE: MINDY MICHELLE BAILEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-501152	AL

General Provider Information

NPI Number	:	1154287316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDY MICHELLE BAILEY

Provider Business Mailing Address
First Line	:	1286 OAK GROVE RD STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6955
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1286 OAK GROVE RD STE 100
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6955
Country	:	US
Telephone Number	:	205-201-1885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	01/05/2026

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Directions to “ MINDY MICHELLE BAILEY ” Practice Location

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