Individual
ASHLEY NICOLE ALTMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3930
(985) 500-3130
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
07/21/2021
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