Individual
MISS KRYSTAL MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
139 JAMES COMEAUX RD STE B, LAFAYETTE, LA 70508-3376
(855) 832-6727
Mailing address
7108 S KANNER HWY FL 7462, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-987
LA
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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