Individual
MISS BROOKE ALEXANDRA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LBA, BCBA
Contact information
Practice address
3026 RYAN ST, LAKE CHARLES, LA 70601-8513
(337) 240-8363
Mailing address
6067 AVA LN, IOWA, LA 70647-6534
(337) 274-4557
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-652
LA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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