Individual
AUDRIENNE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7932 SUMMA AVE STE B2, BATON ROUGE, LA 70809-3736
(225) 349-7171
Mailing address
7932 SUMMA AVE STE B2, BATON ROUGE, LA 70809-3736
(225) 349-7171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
012734521
LA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/27/2022
Last updated
07/03/2024
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