Individual
NICOLE VILLARRUBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 N I-10 SERVICE RD W., METAIRIE, LA 70006
(888) 880-9270
Mailing address
76 WOODLAKE BLVD, KENNER, LA 70065-1054
(504) 376-5163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
LA
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/02/2024
Last updated
08/07/2024
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