Individual
MRS. MELISSA AUTHEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., B.C.B.A.
Contact information
Practice address
4145 HICKORY BRANCH RD, LAKE CHARLES, LA 70611-3502
(818) 694-9456
Mailing address
4145 HICKORY BRANCH RD, LAKE CHARLES, LA 70611-3502
(818) 694-9456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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