Individual
REAGAN KOURY MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1416 METRO DR, ALEXANDRIA, LA 71301-3424
(318) 319-7273
Mailing address
1416 METRO DR, ALEXANDRIA, LA 71301-3424
(318) 319-7273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-540
LA
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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