Individual
MAGGIE MARIE KURTZUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4019 COMMON ST, LAKE CHARLES, LA 70607-2942
(337) 377-6206
Mailing address
2805 LINKSWILLER RD, LAKE CHARLES, LA 70607-7573
(318) 554-8348
(866) 399-7694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27869
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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