Individual
JAQUALA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 THOMAS H DELPIT DR STE 126, BATON ROUGE, LA 70802-6626
(225) 636-2395
Mailing address
1520 THOMAS H DELPIT DR STE 126, BATON ROUGE, LA 70802-6626
(225) 636-2395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
011727522
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
05/18/2022
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