Individual
JENA BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
1515 DEMOSTHENES ST, METAIRIE, LA 70005-2701
(504) 885-4327
(504) 322-2194
Mailing address
1515 DEMOSTHENES ST, METAIRIE, LA 70005-2701
(504) 885-4327
(504) 322-2194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-153
LA
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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