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Individual

DR. GREGORY FASSNACHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD BCBA

Contact information

Practice address
433 METAIRIE RD STE 615, METAIRIE, LA 70005-4333
(504) 833-6730
Mailing address
433 METAIRIE RD STE 615, METAIRIE, LA 70005-4333

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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