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Individual

TERI ELAINE SNEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 PIERRE AVE, SHREVEPORT, LA 71103-2725
(318) 626-7068
Mailing address
700 PIERRE AVE, SHREVEPORT, LA 71103-2725
(318) 626-7068

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LA
106E00000X
Assistant Behavior Analyst
LA
106S00000X
Behavior Technician
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912447095
LA
Enumeration date
12/06/2018
Last updated
12/06/2018
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