| NPI | 1285282723 |
|---|---|
| Former Legal Business Name | BETH LONG, PHD, LLC |
| Entity Type | Organization |
| Authorized Contact | CLARA ELIZABETH LONG Executive Director 334-356-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-08-23 |