Individual
VASHANDRA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 ST. TAMMANY ST, BATON ROUGE, LA 70806
(225) 929-9738
Mailing address
1301 YOUREE DR., SHREVEPORT, LA 71101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
09/05/2019
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