Individual
SARAH NICOLE DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RUE LE BOIS, LAFAYETTE, LA 70508-4332
(337) 207-8134
Mailing address
100 RUE LE BOIS, LAFAYETTE, LA 70508-4332
(337) 207-8134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XUP201075155
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/13/2019
Last updated
05/13/2019
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