Individual
CELIA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED., BCBA, LBA
Contact information
Practice address
8180 SIEGEN LN, BATON ROUGE, LA 70810-1914
(225) 757-8002
Mailing address
8180 SIEGEN LN, BATON ROUGE, LA 70810-1914
(225) 757-8002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-367
LA
Other
Enumeration date
05/21/2019
Last updated
11/27/2023
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