Individual
DILYN ISABELA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17532 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3929
(985) 500-3130
Mailing address
996 ROY MARCO WAY, MARCO ISLAND, FL 34145-1829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
012467012
LA
Other
Enumeration date
08/26/2024
Last updated
08/28/2024
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