Individual
BALEIGH NOEL SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 SW RAILROAD AVE STE 130, HAMMOND, LA 70403-5013
(985) 500-3240
Mailing address
17551A TANGI LAKE DR, HAMMOND, LA 70403-0201
(985) 248-1933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
011750782
LA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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