Individual
ALICE DALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 HIGHWAY 457, LECOMPTE, LA 71346-8782
(318) 613-7671
Mailing address
828 HIGHWAY 457, LECOMPTE, LA 71346-8782
(318) 613-7671
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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