Individual
ALY ST. OURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3098 PIEDMONT RD NE STE 200, ATLANTA, GA 30305-2600
(906) 322-9767
Mailing address
542 AMHERST ST, NASHUA, NH 03063-1016
(561) 323-6593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40098
GA
Other
Enumeration date
10/19/2016
Last updated
01/31/2025
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