Individual
MRS. ALLIE PARKER SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3026 RYAN ST, LAKE CHARLES, LA 70601-8513
(337) 240-8363
Mailing address
3026 RYAN ST, LAKE CHARLES, LA 70601-8513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-755
LA
Other
Enumeration date
07/19/2023
Last updated
04/24/2024
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