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Individual

KATELYN NICOLE WALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
2285 BENTON RD STE C200, BOSSIER CITY, LA 71111-3554
(318) 741-5909
Mailing address
2285 BENTON RD STE C200, BOSSIER CITY, LA 71111-3554
(318) 741-5909

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-16083
LA

Other

Enumeration date
10/16/2023
Last updated
10/16/2023
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