Cornwell, Rebecca

Cornwell, Rebecca is an individual health care provider with primary practice located at 101 Coliseum Blvd , Montgomery AL 36109-2707. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Cornwell, Rebecca can be contacted via phone (334) 277-4372.

Contact Information

Primary practice address
101 Coliseum Blvd Montgomery AL 36109-2707
Phone: (334) 277-4372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2017-090 Alabama

Profile Details

NPI number 1689116162
LBN Legal business name Cornwell, Rebecca
Credentials MED, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2016
Last updated Sep 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689116162 NPPES
Alabama Other 2017-090 ALABAMA BEHAVIOR ANALYST LICENSURE BOARD
Alabama Other 13999037 ALABAMA BEHAVIOR ANALYST LICENSURE BOARD
Alabama Other 1-14-15309 ALABAMA BEHAVIOR ANALYST LICENSURE BOARD

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