Individual
TRINITEE SEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
400 6TH ST, MAMOU, LA 70554-3720
(337) 468-3441
Mailing address
34 MCHENRY RD, GLENMORA, LA 71433-4706
(318) 664-0348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86561
LA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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