Individual
FELICA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(985) 665-8861
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(985) 665-8861
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548420524
—
LA
Enumeration date
01/13/2020
Last updated
08/18/2022
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