Individual
TORI KAITLYN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
9150 BEREFORD DR, BATON ROUGE, LA 70809-2403
(225) 960-7689
Mailing address
10960 BLACK OAK DR, BATON ROUGE, LA 70815-1901
(225) 803-8060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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