Individual
BAILEY MIPRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
31 INDUSTRIAL PARK BLVD, PONCHATOULA, LA 70454-8303
(985) 370-2300
Mailing address
102 LAKEWOOD ESTATES DR, NEW ORLEANS, LA 70131-8300
(504) 615-5196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83797
LA
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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