Individual
COPELIN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 NE EVANGELINE TRWY, LAFAYETTE, LA 70507-2554
(337) 534-8679
Mailing address
3420 NE EVANGELINE TRWY, LAFAYETTE, LA 70507-2554
(337) 534-8679
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-667
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-667
LBA LICENSE
LA
Enumeration date
11/08/2022
Last updated
11/08/2022
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