Individual
MR. GEORGE ZACHARY STORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
314 BROAD ST STE B, LAKE CHARLES, LA 70601-4224
(337) 491-0805
Mailing address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14792
LA
Other
Enumeration date
11/04/2013
Last updated
07/17/2015
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