Individual
THEON EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10950 JEFFERSON HWY, RIVER RIDGE, LA 70123-1765
(504) 427-8720
Mailing address
10950 JEFFERSON HWY APT J1, RIVER RIDGE, LA 70123-1735
(504) 427-8720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
008647469
LA
Other
Enumeration date
07/13/2023
Last updated
07/21/2023
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