Individual
VICTORIA MICHEL BOESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCABA
Contact information
Practice address
17520 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3903
(225) 300-6710
Mailing address
14507 ESSEN TERRACE DR, GONZALES, LA 70737-7164
(985) 233-1074
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14540
LA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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