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Victoria Brackett

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

NPI number1669974291
StatusActive
Last updated in NPPESFeb 28, 2018

Details

NPI
1669974291
Entity type
Individual (NPI-1)
Name
Victoria Brackett
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2018
Last updated
Feb 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1003 Hugh Wallis Rd S Ste B2
Lafayette, LA 70508-2528

Phone 337-205-4444

Mailing address

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

Phone 818-345-2345

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