Individual
MALLORY CLAIRE DESORMEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
130 S BUCHANAN ST, LAFAYETTE, LA 70501-5944
(337) 769-3413
Mailing address
130 S BUCHANAN ST, LAFAYETTE, LA 70501-5944
(337) 769-3413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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