Individual
KIMBERLY BUCHLER FRUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3999 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4914
(985) 871-0689
Mailing address
905 PINEY GROUNDS DR, GONZALES, LA 70737-4890
(504) 710-7320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-416
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3467275
—
LA
Enumeration date
01/22/2020
Last updated
08/29/2022
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