Individual
COREY ANTHONY BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4202 N I-10 SERVICE RD, W METAIRIE, LA 70006
(888) 880-9270
Mailing address
2440 BEHRMAN HWY, NEW ORLEANS, LA 70114-7810
(504) 421-8637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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