Individual
JEANNE HEATH SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
30 ROBIN HOOD RD, DRY PRONG, LA 71423-3548
(318) 625-5345
Mailing address
30 ROBIN HOOD RD, DRY PRONG, LA 71423-3548
(318) 625-5345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-112
LA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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