Individual
BIANCA TYVIONE HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 FRANKLIN AVE, GRETNA, LA 70053-2115
(504) 533-9885
Mailing address
2620 CERRITAS VIA, HARVEY, LA 70058-2935
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
02/23/2024
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