Individual
JERRICK COMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA
Contact information
Practice address
170 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 456-5705
Mailing address
170 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 456-5705
(337) 456-6249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59436
LA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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