Individual
LAUREN ASHLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E WORTHEY ST, GONZALES, LA 70737-4367
(504) 339-9851
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
VQY202
LA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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