Individual
KENNETH JOSEPH BELTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 N SERVICE RD W, METAIRIE, LA 70006
(185) 555-0530
Mailing address
2016 SUMPTER ST, NEW ORLEANS, LA 70122-3940
(504) 518-0144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011721538
—
LA
Enumeration date
06/10/2021
Last updated
06/11/2021
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