Individual
VICTORIA ANN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PARK VIEW CT, PONCHATOULA, LA 70454-3652
(985) 662-2850
Mailing address
107 PARK VIEW CT, PONCHATOULA, LA 70454-3652
(985) 662-2850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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