Individual
DEANNA VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
170 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 456-5705
Mailing address
300 PARK WEST DR, SCOTT, LA 70583-8911
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-789
LA
Other
Enumeration date
05/30/2019
Last updated
10/31/2023
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