Individual
CHEYNE LYNNE BAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 W PINHOOK RD STE 303, LAFAYETTE, LA 70508-3735
(337) 806-9601
(337) 484-1405
Mailing address
401 N COLLEGE RD, LAFAYETTE, LA 70506-4263
(337) 456-5705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-358
LA
Other
Enumeration date
04/21/2019
Last updated
06/30/2022
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