Organization
NEQUETTA LASHAUN ALFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEQUETTA LASHAUN ALFORD M.B.A. / ABA (BEHAVIOR SPECIALIST CONSULTANT)
(215) 416-8434
Entity
Organization
Contact information
Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 416-8434
Mailing address
5921 REACH ST, PHILADELPHIA, PA 19120-1114
(215) 416-8434
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
131451801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131451801
—
PA
Enumeration date
06/22/2009
Last updated
06/22/2009
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