Individual
JERLIYAHA ASHANTA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7784 GOV WICKLIFFE AVE, BATON ROUGE, LA 70811-2031
(225) 489-3116
Mailing address
4337 W MARIBEL CT, BATON ROUGE, LA 70812-4040
(225) 489-3116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
013059513
LA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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