Individual
MRS. LESLIE PRAETORIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
125 WALNUT ST, FOREST, LA 71242
(504) 460-5142
Mailing address
PO BOX 230, FOREST, LA 71242-0230
(504) 460-5142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11415112
LA
Other
Enumeration date
04/02/2014
Last updated
08/19/2014
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