| Name: | Alabama Neurobehavior, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Mar 2009 (16 years ago) |
| Entity Number: | 000-431-831 |
| Register Number: | 000431831 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | WARRIOR, AL |
| Registered Office Street Address: | 209 LOUISA ST STE 2WARRIOR, AL 35180 |
| Registered Office Street Address ZIP Code: | 35180 |
Activities
NEUROPSYCHOLOGICAL/PSYCHOLOGICAL EVALUATIONS/BEHAVIORAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437390853 | 2009-03-14 | 2010-03-12 | 321 DELCRIS CT, BIRMINGHAM, AL, 352261978, US | 1025 23RD ST S, BIRMINGHAM, AL, 352052499, US | |||||||||||||||||||||||
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| Phone | +1 205-837-3533 |
Authorized person
| Name | DR. KRISTINE LOKKEN EDMONDSON |
| Role | NEUROPSYCHOLOGIST |
| Phone | 2058373533 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | 1206 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1548290984 |
| State | AL |
| Name | Role |
|---|---|
| SELF, J ROSS | Agent |
| Name | Role |
|---|---|
| LOKKEN, KRISTINE | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
