Provider Demographics
NPI:1962931840
Name:RUMPH, LAMETTRA RENEA (BCBA)
Entity type:Individual
Prefix:
First Name:LAMETTRA
Middle Name:RENEA
Last Name:RUMPH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LAMETTRA
Other - Middle Name:RENEA
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1566 ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-3718
Mailing Address - Country:US
Mailing Address - Phone:334-443-1043
Mailing Address - Fax:334-635-0348
Practice Address - Street 1:1566 ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-3718
Practice Address - Country:US
Practice Address - Phone:334-443-1043
Practice Address - Fax:334-635-0348
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2018-078103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst