Individual
MR. DAVID JAMES POLETO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
4201 N INTERSTATE 10 SERVICE RD W, METARIE, LA 70006-1834
(225) 960-7689
Mailing address
350 FAIRWAY DR, DEERFIELD BEACH, FL 33441-1834
(504) 952-8405
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
12/22/2017
Last updated
09/30/2022
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