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Individual

DAVID ALAN FAIRBURN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, BCBA, LBA

Contact information

Practice address
38450 SUNNY DAYS LN, SLIDELL, LA 70461-4603
(985) 288-5508
Mailing address
19142 NULL RD, LORANGER, LA 70446-2516
(985) 662-2594

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-437
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-20-41607
BCBA CERTIFICATION
01
L-437
LBAB LICENSURE
LA
Enumeration date
04/15/2020
Last updated
04/15/2020
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