Individual
JESSICA BRUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 STEVENS RD STE 150, SHREVEPORT, LA 71106-7574
(318) 947-9000
Mailing address
8450 E KINGS HWY APT E16, SHREVEPORT, LA 71115-2128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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