Individual
MRS. VICTORIA C DOMANGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
108 PICONE RD, HOUMA, LA 70363-7051
(985) 860-3752
(985) 208-3051
Mailing address
108 PICONE RD, HOUMA, LA 70363-7051
(985) 860-3752
(985) 208-3051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-369
LA
Other
Enumeration date
05/18/2019
Last updated
02/07/2022
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