Individual
MS. RACQUEL BANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 BASIE DR, MARRERO, LA 70072-4608
(504) 402-8222
Mailing address
2025 BASIE DR, MARRERO, LA 70072-4608
(504) 402-8222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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