Individual
JEANETTE VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 DANTE ST, NEW ORLEANS, LA 70118-1013
(504) 517-1718
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
010800373
LA
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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