Individual
MARGARET NORDNESS FAVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3999 US-190, COVINGTON, LA 70433
(985) 871-0689
Mailing address
1928 MONROE ST, MANDEVILLE, LA 70448-5843
(256) 655-3922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
C-046
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387103
—
LA
Enumeration date
08/26/2019
Last updated
08/26/2019
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