Individual
TODD MICHAEL FURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
1924 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4131
(337) 240-8162
(337) 240-8163
Mailing address
229 MCCAIN RD, LAKE CHARLES, LA 70607-8743
(337) 274-3949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58867
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-58867
BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
—
01
—
L-642
LOUISIANA BEHAVIOR ANALYST BOARD (LBAB)
LA
Enumeration date
05/26/2022
Last updated
05/26/2022
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