Individual
ANDREA S VINNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9305 MAIN ST STE E, ZACHARY, LA 70791-7441
(225) 278-1020
Mailing address
9305 MAIN ST STE E, ZACHARY, LA 70791-7441
(225) 278-1020
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55829
LA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/04/2016
Last updated
03/28/2022
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