Individual
MRS. TRICIA RENE CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
1018 VERRET ST, HOUMA, LA 70360-4640
(985) 873-6092
(985) 873-6094
Mailing address
1018 VERRET ST, HOUMA, LA 70360-4640
(985) 873-6092
(985) 873-6094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-097
LA
Other
Enumeration date
07/20/2015
Last updated
06/07/2017
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