NPI 1205196557 · live from the CMS NPI Registry
Kelly Mize Autry, M.S., BCBA, LBA
Behavior Analyst in Birmingham, AL. National Provider Identifier 1205196557, active.
NPI record
| NPI | 1205196557 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 150 Glenwood Ln, Birmingham, AL 35242 |
| Practice phone | 205-795-3242 |
| Enumerated | May 21, 2012 |
| Last updated | August 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-10-7788 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.