Individual
MARIA BAHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
206 E REYNOLDS DR STE C3, RUSTON, LA 71270-2873
(318) 600-6640
(318) 224-9174
Mailing address
206 E REYNOLDS DR STE C3, RUSTON, LA 71270-2873
(318) 600-6640
(318) 224-9174
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-687
LA
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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