Individual
SHANTAE CAVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6685 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 302-3230
Mailing address
6685 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 302-3230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-2938
LA
Other
Enumeration date
02/19/2018
Last updated
09/13/2023
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