Healthcare Provider Details

I. General information

NPI: 1962098806
Provider Name (Legal Business Name): ALANA M DISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 METAIRIE RD STE 515
METAIRIE LA
70005-4326
US

IV. Provider business mailing address

4878 LAFON DR
NEW ORLEANS LA
70126-4122
US

V. Phone/Fax

Practice location:
  • Phone: 504-833-6730
  • Fax:
Mailing address:
  • Phone: 504-390-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: