Individual
JACIE LYNN MAYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17092 NATHANS LN, PRAIRIEVILLE, LA 70769-6225
(225) 210-5130
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(225) 210-5130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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