Individual
ELMONISHA PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 S UNIVERSITY BLVD STE 2H, MOBILE, AL 36609-7860
(251) 340-2020
Mailing address
1116 CARMADELLE ST, MARRERO, LA 70072-2646
(504) 255-2551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-417853
AL
Other
Enumeration date
03/18/2025
Last updated
04/16/2025
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