Individual
KHALIEESHA ARIEL KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
K.K
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(855) 550-5308
Mailing address
3642 HERALD ST, NEW ORLEANS, LA 70131-7122
(504) 913-0362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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