Individual
MR. COLTON DON PEEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.C.B.A., L.B.A.
Contact information
Practice address
4205 RYAN ST, LAKE CHARLES, LA 70605-4511
(337) 562-4246
(337) 562-4221
Mailing address
4205 RYAN STREET BOX 91895, LAKE CHARLES, LA 70609-0001
(337) 562-4246
(337) 562-4221
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-235
LA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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