Most Relevant Information
Provider Data
| NPI Number: | 1003691619 |
| Provider Name: | ALISE MARIA PRINCE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2023 |
| Last Updated: | 08/30/2023 |
Provider Practice Location
11607 SOUTHFORK AVE BLDG B
BATON ROUGE
LA
708165220
Practice Location Phone/Fax
| Phone: | 8774182978 |
| Fax: | 8665002186 |
Provider Mailing Location
350 FAIRWAY DR STE 101
DEERFIELD BEACH
FL
334411834
Provider Mailing Phone/Fax
| Phone: | 8774182978 |
| Fax: | 8665002186 |