Individual
MRS. SYDNA STONE OAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4819 IHLES RD, LAKE CHARLES, LA 70605-5900
(337) 377-7772
Mailing address
4819 IHLES RD, LAKE CHARLES, LA 70605-5900
(337) 377-7772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351567
—
LA
Enumeration date
05/17/2011
Last updated
04/18/2016
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