Individual
ANGELICE GAINES
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
7159 ASPEN PL, BATON ROUGE, LA 70812-1812
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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