Individual
CHARMAINE JUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11607 SOUTHFORK AVE BLDG B, BATON ROUGE, LA 70816-5220
(877) 418-2978
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
05/16/2019
Last updated
05/10/2024
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