Individual
ASHANTI GERLYN PINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
785 E WILLOW ST, PONCHATOULA, LA 70454-8855
(985) 467-0254
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
LA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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