Cheyne Lynne Bamburg
Behavior Analyst in Lafayette, LA. Individual provider (NPI-1).
NPI number1952964355
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1952964355
- Entity type
- Individual (NPI-1)
- Name
- Cheyne Lynne Bamburg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2019
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | L-358 | LA | Yes |
Practice location
1602 W Pinhook Rd Ste 303Lafayette, LA 70508-3735
Phone 337-806-9601 · Fax 337-484-1405
Mailing address
401 N College RdLafayette, LA 70506-4263
Phone 337-456-5705
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