Individual
MR. ELLIOTT REMOND BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
6685 SULLIVAN RD STE B, GREENWELL SPRINGS, LA 70739-3112
(225) 261-7143
Mailing address
14582 W DAVID DR, HAMMOND, LA 70401-1201
(601) 807-2378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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