Individual
CHRISTA MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
1103 HUDSON LN, MONROE, LA 71201-6035
(318) 322-6500
(318) 322-6500
Mailing address
1103 HUDSON LN, MONROE, LA 71201-6035
(318) 322-6500
(318) 322-6500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-156
LA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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