Individual
JONTELL LARAE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 INDEPENDENCE BLVD STE E, ZACHARY, LA 70791-7390
(225) 286-1547
Mailing address
PO BOX 32, MARINGOUIN, LA 70757-0032
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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