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Individual

AMNA DEREESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4201 N INTERSTATE 10 SERVICE RD W, METAIRIE, LA 70006
(504) 641-4319
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/25/2026
Last updated
04/01/2026
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