Individual
BRANDI OUTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 4TH ST, JONESBORO, LA 71251-3346
(318) 259-1500
(318) 259-1580
Mailing address
500 S BARNETT SPRINGS ST APT 27, RUSTON, LA 71270-9055
(318) 436-9931
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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