Individual
ALISA MICHELLE DEMOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 WESTERLY DR, FRANKLIN, TN 37067-8594
(615) 663-8872
Mailing address
1701 OLD TRENTON RD APT 205, CLARKSVILLE, TN 37040-2305
(865) 416-8010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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