Individual
DR. REBECCA LYNN MANDAL-BLASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5700 CITRUS BLVD STE A1, NEW ORLEANS, LA 70123-8505
(866) 727-8274
Mailing address
5700 CITRUS BLVD STE A1, NEW ORLEANS, LA 70123-8505
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
932
LA
Other
Enumeration date
08/12/2007
Last updated
02/16/2018
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