Individual
LARISSA MARIE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2000 COVINGTON CTR, COVINGTON, LA 70433-2979
(985) 237-1921
Mailing address
2000 COVINGTON CTR, COVINGTON, LA 70433-2979
(985) 237-1921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71925
LA
Other
Enumeration date
04/19/2024
Last updated
04/22/2024
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