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Individual

ELIZABETH HARTSOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
3923 BIENVILLE ST, NEW ORLEANS, LA 70119-5173
(765) 438-9160
(866) 500-2186
Mailing address
3923 BIENVILLE ST, NEW ORLEANS, LA 70119-5173
(765) 438-9160
(866) 500-2186

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-15902
IN
103K00000X
Behavior Analyst
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300010253
IN
Enumeration date
06/30/2014
Last updated
05/19/2023
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