Individual
MS. DAWN MARIE GILCREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7835 PARK AVE, HOUMA, LA 70364-3112
(985) 872-9838
Mailing address
511 KEYSTONE LOOP, HOUMA, LA 70360-5916
(985) 232-6346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2375300
—
LA
Enumeration date
09/23/2013
Last updated
03/06/2020
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