Individual
ANGELIQUE J MENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
650 OLIVE ST, SHREVEPORT, LA 71104-2210
(318) 302-6000
Mailing address
133 HILLCREST AVE, WEST MONROE, LA 71291-7823
(318) 816-0840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-362
LA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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