Individual
ABIGAIL MICHELLE HAVEN-PETITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19374 N 3RD ST, COVINGTON, LA 70433-8813
(504) 444-3647
Mailing address
70388 L ST, COVINGTON, LA 70433-5201
(985) 635-1749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-15063
LA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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