Individual
MISS AMY IMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
5175 UNIVERSAL AVE, GREENWELL SPRINGS, LA 70739-3443
(225) 603-9921
Mailing address
5175 UNIVERSAL AVE, GREENWELL SPRINGS, LA 70739-3443
(225) 603-9921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7199
—
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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