Individual
LAURA ELLEN FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1024 N ATLANTA ST, METAIRIE, LA 70003-5865
(734) 812-3357
Mailing address
1024 N ATLANTA ST, METAIRIE, LA 70003-5865
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24886
LA
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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