Individual
SHAYLENE LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
205 PLANER MILL RD, DERIDDER, LA 70634-3115
(719) 433-1981
Mailing address
205 PLANER MILL RD, DERIDDER, LA 70634-3115
(719) 433-1981
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1082716
LA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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