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Individual

EMILEE MAYEAUX

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
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
011181664
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90631794
LA
Enumeration date
07/01/2019
Last updated
07/01/2019
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