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Individual

AJIA MOURITSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
804 DONNELL BLVD, DALEVILLE, AL 36322-2134
(334) 493-5712
Mailing address
100 HAMPTON LN APT C28, ENTERPRISE, AL 36330-5067
(435) 823-0262

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AL

Other

Enumeration date
07/31/2025
Last updated
07/31/2025
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