Individual
KRISTEN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 N HIGHWAY 190 STE 10, COVINGTON, LA 70433-8985
(985) 590-4549
Mailing address
39028 EVERETT LN, PONCHATOULA, LA 70454-7406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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