Individual
ASHLEY GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 S 17TH ST, BATON ROUGE, LA 70802-4121
(225) 409-8892
Mailing address
1216 S 17TH ST, BATON ROUGE, LA 70802-4121
(225) 409-8892
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/20/2023
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