Individual
ANTONGIO HUMPHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2439 MANHATTAN BLVD STE 301, HARVEY, LA 70058
(504) 309-4628
Mailing address
815 RICHARD ST, GRETNA, LA 70053-4829
(504) 575-8271
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
07/15/2019
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