Individual
BERNADETTE DEROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3043
(985) 272-1824
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
010605487
LA
Other
Enumeration date
01/18/2017
Last updated
12/07/2018
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