Individual
ALEXIS BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12639 HIGHWAY 23, BELLE CHASSE, LA 70037-4155
(504) 450-8606
Mailing address
12639 HIGHWAY 23, BELLE CHASSE, LA 70037-4155
(504) 450-8606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-930
LA
Other
Enumeration date
02/24/2021
Last updated
02/24/2025
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