Individual
VICTORIA M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20263 HOLLIE LN, PONCHATOULA, LA 70454-5215
(225) 349-7960
Mailing address
20263 HOLLIE LN, PONCHATOULA, LA 70454-5215
(985) 502-4429
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011518960
LA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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