Individual
JUSTIN DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
300 PARK WEST DRIVE, SUITE A, SCOTT, LA 70583
(337) 254-0986
Mailing address
PO BOX 331, SCOTT, LA 70583-0331
(337) 254-0986
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9057
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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