Individual
HALIE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
750 E BAYOU PINES DR, LAKE CHARLES, LA 70601
(337) 210-4242
Mailing address
750 EAST BAYOU PINES DR, LAKE CHARLES, LA 70601
(337) 210-4242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
04/25/2023
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