Individual
CHRISTIONA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E WORTHY ST, GONZALES, LA 70737-4367
(504) 399-9851
Mailing address
3812 CHARRY DR, BAKER, LA 70714-3720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011694665
LA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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