Individual
ELIZABETH CAROLINE BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,BCBA
Contact information
Practice address
800 JACKSON AVE, MANDEVILLE, LA 70448-5328
(985) 231-7612
Mailing address
18940 HUNTER DR, PONCHATOULA, LA 70454-4218
(985) 974-9236
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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