Individual
KYLIE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
300 PARK WEST DR, SCOTT, LA 70583-8911
(337) 233-1167
Mailing address
300 PARK WEST DR, SCOTT, LA 70583-8911
(337) 233-1167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-864
LA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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