Individual
MISS SARAH MARIE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
601 POINCIANA AVENUE, MAMOU, LA 70554
(337) 468-3440
(337) 468-3440
Mailing address
601 POINCIANA AVENUE, MAMOU, LA 70554
(337) 468-3440
(337) 468-3440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-424
LA
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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