Individual
KIM THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9063 SIEGEN LN STE A, BATON ROUGE, LA 70810-2051
(225) 294-1600
Mailing address
13648 WILLAMETTE, BATON ROUGE, LA 70817-4038
(337) 292-1932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-662
LA
Other
Enumeration date
10/03/2018
Last updated
12/07/2022
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