Individual
MEGAN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 PLANTATION RD STE D, THIBODAUX, LA 70301-4264
(985) 446-6833
Mailing address
1000 PLANTATION RD STE D, THIBODAUX, LA 70301-4264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-512
LA
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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