Individual
ALYCIA DEE BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
111 PINEHILL RD, PINEVILLE, LA 71360-9750
(318) 447-0074
Mailing address
111 PINEHILL RD, PINEVILLE, LA 71360-9750
(318) 447-0074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-497
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-497
LOUISIANA BEHAVIOR ANALYST BOARD
LA
Enumeration date
05/23/2021
Last updated
05/23/2021
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