Individual
KAITLYN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
4819 IHLES RD, LAKE CHARLES, LA 70605-5900
(337) 602-6247
Mailing address
4819 IHLES RD, LAKE CHARLES, LA 70605-5900
(337) 602-6247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
03/05/2021
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