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Individual

ALEXANDRA BLAKE TARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4279 FRONT ST, WINNSBORO, LA 71295-4123
(318) 379-3214
(318) 515-0014
Mailing address
4279 FRONT ST, WINNSBORO, LA 71295-4123
(318) 379-3214
(318) 515-0014

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-1090
LA
103K00000X
Behavior Analyst
Primary
LA

Other

Enumeration date
01/08/2026
Last updated
02/12/2026
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