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Individual

KALENA BOSTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2036 JACKSON ST, ALEXANDRIA, LA 71301-6439
(318) 641-0444
Mailing address
2036 JACKSON ST, ALEXANDRIA, LA 71301-6439
(318) 641-0444

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R8741
LA
106S00000X
Behavior Technician
LA

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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