Individual
TAYLOR BOULET FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 255-0950
(337) 466-2296
Mailing address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 255-0950
(337) 466-2296
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-478
LA
Other
Enumeration date
09/24/2020
Last updated
01/30/2024
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