Individual
MRS. SASHA TAMERON FORRESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 HAVEN DR STE 2, DOTHAN, AL 36301-2908
(334) 709-4024
Mailing address
1873 PILGRIMS REST RD, SLOCOMB, AL 36375-5932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
8884025
AL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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