Individual
THESSALIAN MAEWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A, M.A, BCBA, LBA
Contact information
Practice address
724 ESAU AVE, BOSSIER CITY, LA 71111-6666
(318) 572-8348
Mailing address
724 ESAU AVE, BOSSIER CITY, LA 71111-6666
(318) 572-8348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71879
LA
Other
Enumeration date
09/18/2016
Last updated
05/31/2024
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