Individual
MRS. TIFFANY LACY OWEN-MCANULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
716 HODGES ST, LAKE CHARLES, LA 70601-4215
(337) 240-2779
(337) 882-2111
Mailing address
716 HODGES ST, LAKE CHARLES, LA 70601-4215
(337) 240-2779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-588
LA
Other
Enumeration date
07/06/2018
Last updated
07/21/2025
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