Individual
CELESTE MARIE TEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7932 SUMMA AVE STE 2, BATON ROUGE, LA 70809-3736
(225) 349-7171
Mailing address
3101 HIGHLAND RD APT 311, BATON ROUGE, LA 70802-7856
(724) 614-4261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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