NPI 1679434872

Mika de Ridder

Practitioner Behavior Technician Slocomb, AL

Practice location

Address: 427 W. Lawrence Harris Hwy 52, Slocomb, AL 36375
Phone: (334) 618-3302

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 20-109628 (AL)

Other Behavior Technician providers in Alabama →

Registry record

NPI: 1679434872
Entity type: Individual
Sex (as registered): X
NPI issued: 19 Nov 2025
Record last updated: 19 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.