Individual
KATHLEEN FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7222 BLUEBONNET BLVD, STE 215, BATON ROUGE, LA 70810-1611
(225) 757-8002
Mailing address
1534 COURT ST, LOT 37, PORT ALLEN, LA 70767-2578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA
LA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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