Individual
MRS. DIANE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
644 ASHLEY RIVER RD, SHREVEPORT, LA 71115-3830
(318) 820-6597
Mailing address
644 ASHLEY RIVER RD, SHREVEPORT, LA 71115-3830
(318) 820-6597
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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