Individual
CLAIRE WHITE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
8130 KELWOOD AVE, BATON ROUGE, LA 70806
(225) 931-0628
Mailing address
8130 KELWOOD AVE, BATON ROUGE, LA 70806-4843
(225) 771-8173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2403621
—
LA
Enumeration date
07/06/2015
Last updated
12/10/2019
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