Individual
MS. JACY DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
14088 W CLUB DELUXE RD, HAMMOND, LA 70403-1000
(985) 542-0077
Mailing address
2209 MAGNOLIA RD, FRANKLINTON, LA 70438-2510
(985) 515-8307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
LA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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