Individual
RATONYA JANUARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 S 7TH ST, MONROE, LA 71202-2844
(318) 348-2972
(318) 362-5669
Mailing address
1507 S 7TH ST, MONROE, LA 71202-2844
(318) 348-2972
(318) 362-5669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0000000019
LA
171W00000X
Contractor
0000000019
LA
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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