Individual
MS. ELLEN B BROCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3900 STERKX RD, ALEXANDRIA, LA 71301-3562
(318) 308-0109
Mailing address
2528 AVENUE B, ALEXANDRIA, LA 71301-5314
(318) 308-0109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-1915
LA
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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