Individual
DERRINISHA DALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4235 HOLLY DR, SLIDELL, LA 70461-1815
(504) 521-3192
Mailing address
4235 HOLLY DR, SLIDELL, LA 70461-1815
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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