Individual
REBECCA RUTH VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7844 JEFFERSON PLACE BLVD APT A, BATON ROUGE, LA 70809-7629
(225) 362-3537
Mailing address
7844 JEFFERSON PLACE BLVD APT A, BATON ROUGE, LA 70809-7629
(225) 362-3537
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011287897
LA
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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