Basic Information
| Provider Information | |||||||||
| NPI: | 1598373417 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TONEY | ||||||||
| FirstName: | ARIEL | ||||||||
| MiddleName: | LA'TRICE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | M.S., BCBA, LBA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1820 SOUTHPARK DR | ||||||||
| Address2: | |||||||||
| City: | HOOVER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352442094 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2054908228 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1820 SOUTHPARK DR | ||||||||
| Address2: | |||||||||
| City: | HOOVER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352442094 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2054908228 | ||||||||
| FaxNumber: | 8778666752 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2020 | ||||||||
| LastUpdateDate: | 07/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-20-42812 | AL | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.