Individual
ALYSON ROSE BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42124 VETERANS AVE, HAMMOND, LA 70403-1427
(985) 500-3240
Mailing address
140 BECKY DR, AVONDALE, LA 70094-2808
(504) 452-1293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
LA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
05/10/2023
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