Individual
ASHLEY BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BEHRMAN HWY, GRETNA, LA 70056-4596
(985) 871-0689
Mailing address
1000 BEHRMAN HWY, GRETNA, LA 70056-4596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-436
LA
Other
Enumeration date
03/30/2020
Last updated
08/18/2020
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