Individual
AUSTIN JON FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
400 6TH ST, MAMOU, LA 70554-3720
(337) 468-3441
(337) 468-3440
Mailing address
1205 PEACH ST, MAMOU, LA 70554-2325
(337) 580-6652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
803
LA
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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