Individual
IAN VIGNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 ADEE LN, GRETNA, LA 70056-7620
(504) 481-0524
Mailing address
608 ADEE LN, GRETNA, LA 70056-7620
(504) 481-0524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-171
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2427644
—
LA
Enumeration date
09/06/2016
Last updated
02/19/2017
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