Individual
JAKE CHARLES CRIFASI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
3013 27TH ST, METAIRIE, LA 70002-6013
(504) 291-6200
Mailing address
201 CAMELIA CV, PEARL RIVER, LA 70452-6324
(985) 640-8361
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-442
LA
Other
Enumeration date
03/24/2020
Last updated
03/26/2020
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