Individual
KRISTINE ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
Mailing address
380 WASHINGTON ST, LAKE CHARLES, LA 70605-6247
(337) 842-4485
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-7797
LA
Other
Enumeration date
06/21/2017
Last updated
06/27/2017
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