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Elizabeth Paige Barboza

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

NPI number1568087484
StatusActive
Last updated in NPPESMay 24, 2023

Details

NPI
1568087484
Entity type
Individual (NPI-1)
Name
Elizabeth Paige Barboza
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2020
Certification date
May 24, 2023
Last updated
May 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianBACB587576FLYes

Practice location

139 James Comeaux Rd Ste B
Lafayette, LA 70508

Phone 850-902-4628

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

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