Individual
KATHERINE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA #1-15-19417
Contact information
Practice address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
Mailing address
816 TILLMAN ST, WESTLAKE, LA 70669-4620
(337) 513-5635
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19417
LA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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