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NPI Code Detail

MEDICARE: SYDNEY ALEXIS TABB

MEDICARE: SYDNEY ALEXIS TABB
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
1106S00000XBehavior TechnicianAL

General Provider Information

NPI Number : 1760349203
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY ALEXIS TABB
Provider Business Mailing Address
First Line : 200 VESTAVIA PKWY STE 2400
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-3797
Country : US
Telephone Number : 205-208-4927
Fax Number :
Provider Business Practice Location Address
First Line : 200 VESTAVIA PKWY STE 2400
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-3797
Country : US
Telephone Number : 205-208-4927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ SYDNEY ALEXIS TABB ” Practice Location

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