Individual
DORALIS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 DULLES DR APT 4101, LAFAYETTE, LA 70506-3075
(585) 353-9158
Mailing address
411 DULLES DR APT 4101, LAFAYETTE, LA 70506-3075
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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