Individual
LISA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
1301 SAINT MARY ST, THIBODAUX, LA 70301-6527
(985) 446-6833
(985) 446-6835
Mailing address
1301 SAINT MARY ST, THIBODAUX, LA 70301-6527
(985) 446-6833
(985) 446-6835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
04/04/2025
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