Individual
SARAH GAUTHIER MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
855 SHIRLEY RD, BUNKIE, LA 71322-1540
(318) 346-9288
Mailing address
855 SHIRLEY RD, BUNKIE, LA 71322-1540
(318) 346-9288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-316
LA
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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