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Doretha Nicole Hardy

Behavior Technician in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1013405083
StatusActive
Last updated in NPPESApr 25, 2018

Details

NPI
1013405083
Entity type
Individual (NPI-1)
Name
Doretha Nicole Hardy
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2018
Last updated
Apr 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

11606 Southfork Ave Ste 300
Baton Rouge, LA 70816-5238

Phone 225-292-5981

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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