Individual
LARISSA G VALERO ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
120 CONVENT STREET, LABADIEVILLE, LA 70372
(985) 446-6833
(985) 446-6835
Mailing address
PO BOX 1137, THIBODAUX, LA 70302-1137
(985) 447-7905
(985) 447-7907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-617
LA
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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