Alissa Thibodeaux
Behavior Technician in Metairie, LA. Individual provider (NPI-1).
NPI number1104635119
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1104635119
- Entity type
- Individual (NPI-1)
- Name
- Alissa Thibodeaux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2025
- Certification date
- Dec 31, 2024
- Last updated
- Jan 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | LA | Yes |
Practice location
4202 N 1-10 Service Rd W.Metairie, LA 70006
Phone 888-880-9270
Mailing address
350 Fairway Dr Ste 101Deerfield Beach, FL 33441-1834
Phone 877-418-2978 · Fax 866-500-2186
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All 1,856 Behavior Technician providers in Metairie · All 7,185 providers in Metairie
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