Individual
ALESIA FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
103 4TH ST, JONESBORO, LA 71251
(318) 259-1500
Mailing address
536 MCNEIL DR, DUBACH, LA 71235-2011
(318) 245-7821
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
05/22/2018
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