Individual
MISS MARKISHA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1544 N 40TH ST, BATON ROUGE, LA 70802-1623
(225) 405-2747
Mailing address
1544 N 40TH ST, BATON ROUGE, LA 70802-1623
(225) 405-2747
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
010130993
LA
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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