Individual
MARY GRACE KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3999 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4914
(985) 871-0689
(985) 871-0690
Mailing address
27130 HIGHWAY 22, SPRINGFIELD, LA 70462-3108
(601) 507-9077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67103
LA
106S00000X
Behavior Technician
—
LA
Other
Enumeration date
06/09/2018
Last updated
10/19/2023
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