Individual
PHILIP BROCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
170 DOGWOOD PASS, WOODWORTH, LA 71485-9712
(318) 289-6927
Mailing address
170 DOGWOOD PASS, WOODWORTH, LA 71485
(318) 289-6927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
C-009
LA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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