Individual
MICHAEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA; LBA
Contact information
Practice address
2285 BENTON RD, BOSSIER CITY, LA 71111-7933
(318) 741-5909
Mailing address
2285 BENTON RD, BOSSIER CITY, LA 71111-7933
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L195
LA
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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