Individual
ALISA SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3340 SEVERN AVE, 220, METAIRIE, LA 70002-7407
(504) 281-4913
Mailing address
3340 SEVERN AVE, 220, METAIRIE, LA 70002-7407
(504) 281-4913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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