Individual
ANNA KAITLYN BUNDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1651 E. 70TH ST SUITE 2-A, SHREVEPORT, LA 71105
(877) 315-8080
Mailing address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
(877) 315-8080
(877) 345-4009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
313
LA
103K00000X
Behavior Analyst
Primary
L-313
LA
Other
Enumeration date
08/29/2018
Last updated
05/26/2021
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