Individual
ALISHA AUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1018 VERRET ST, HOUMA, LA 70360-4640
(985) 873-6092
Mailing address
1018 VERRET ST, HOUMA, LA 70360-4640
(985) 873-6092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-229
LA
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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