Individual
NATASHA S VARISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 MADISON ST, GRETNA, LA 70053-3212
(150) 432-5955
Mailing address
1435 MADISON ST, GRETNA, LA 70053-3212
(504) 325-9558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
008682819
LA
106S00000X
Behavior Technician
Primary
8682819
LA
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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