Individual
MRS. SARAH COCO EGNATUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2016 OAK PARK BLVD, LAKE CHARLES, LA 70601-7828
(337) 429-5248
Mailing address
108 W 15TH ST, LAKE CHARLES, LA 70601-7216
(512) 705-7091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-296
LA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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