Individual
DANICA REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 JACKSON ST, THIBODAUX, LA 70301-2621
(985) 492-1941
Mailing address
318 1/2 S BUCHANAN ST, LAFAYETTE, LA 70501-7022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-225
LA
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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