Individual
ATHALIAH MARTIQUE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 BEREFORD DR, BATON ROUGE, LA 70809-2403
(225) 960-7689
(225) 960-7690
Mailing address
3003 RIVER RD S APT D134, BATON ROUGE, LA 70802-8774
(225) 921-6626
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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