Individual
SAVANNAH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
800 JACKSON AVE, MANDEVILLE, LA 70448-5328
(985) 231-7612
Mailing address
18040 DERBES DR, COVINGTON, LA 70433-0337
(985) 237-8896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31056
LA
Other
Enumeration date
07/12/2018
Last updated
01/14/2020
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