Individual
KIMBERLY JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7730
(318) 629-1732
(318) 629-2735
Mailing address
10450 ELLERBE RD, SHREVEPORT, LA 71106-7730
(318) 629-1732
(318) 629-2735
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT1855274
LA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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