Individual
COURTNI MICHELLE BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MAIN ST, FRANKLIN, LA 70538-7026
(337) 907-6389
(337) 940-6412
Mailing address
9150 BEREFORD DR, BATON ROUGE, LA 70809-2403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
11/27/2019
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