Individual
TARA FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
800 JACKSON AVE, MANDEVILLE, LA 70448-5328
(504) 451-2543
Mailing address
74244 AIRPORT RD, COVINGTON, LA 70435-5660
(732) 379-8846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47980
LA
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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