Individual
BRANDI DANIELLE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 STEVENS RD STE 150, SHREVEPORT, LA 71106-7574
(318) 947-9000
(318) 692-3904
Mailing address
9441 STEVENS RD STE 150, SHREVEPORT, LA 71106-7574
(318) 947-9000
(318) 692-3904
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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