Individual
ABBY ALYSE DARDENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
7932 SUMMA AVE STE B2, BATON ROUGE, LA 70809-3736
(225) 349-7171
Mailing address
17040 THOMAS LN, GROSSE TETE, LA 70740-3026
(225) 776-4473
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-452
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-41289
BACB CERTIFICATION
—
01
—
L-452
LOUISIANA BEHAVIOR ANALYST BOARD
LA
Enumeration date
04/15/2020
Last updated
09/18/2020
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