Individual
TANISHA WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 663-6932
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21722
IL
Other
Enumeration date
04/07/2016
Last updated
10/15/2024
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