Individual
DANIELLE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9063 SIEGEN LN STE A, BATON ROUGE, LA 70810-2051
(225) 294-1600
Mailing address
13612 SHADY RIDGE AVE, BATON ROUGE, LA 70817-2843
(225) 892-5943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
468
LA
Other
Enumeration date
02/19/2018
Last updated
08/17/2020
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