Individual
MS. KAYLA LYNN WHITTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 SW RAILROAD AVE STE 130, HAMMOND, LA 70403-5013
(985) 500-3240
Mailing address
21452 WITTIE RD, PONCHATOULA, LA 70454-5450
(850) 896-5720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011949537
LA
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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