Individual
MRS. AMANDA RYALS LOBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
35418 GLOVER RD, PEARL RIVER, LA 70452-2470
(985) 502-1403
Mailing address
35418 GLOVER RD, PEARL RIVER, LA 70452-2470
(985) 502-1403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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