Individual
EMMA FREDERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Mailing address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-798
LA
106S00000X
Behavior Technician
716664
LA
Other
Enumeration date
03/24/2023
Last updated
01/05/2024
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