Individual
TAILER R JUNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 CENTRE SARCELLE BLVD, YOUNGSVILLE, LA 70592-6755
(337) 573-1083
Mailing address
107 LEGEND CREEK DR, YOUNGSVILLE, LA 70592-5763
(337) 552-8112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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