Individual
JENNIFER PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3930
(985) 500-3130
Mailing address
13467 LEBLANC RD, GONZALES, LA 70737-7081
(225) 431-4610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011980122
LA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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