Individual
MRS. WHITNEY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11772 SPARKS DAVIS RD, KEITHVILLE, LA 71047-7550
(318) 294-0114
Mailing address
11772 SPARKS DAVIS RD, KEITHVILLE, LA 71047-7550
(318) 294-0114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11832582
LA
Other
Enumeration date
11/05/2018
Last updated
09/28/2021
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