Individual
TIFFANY ANNE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1813 LINDEN LN, LAKE CHARLES, LA 70605-5249
(337) 377-7400
Mailing address
1813 LINDEN LN, LAKE CHARLES, LA 70605-5249
(337) 377-7400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7386
LA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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