NPI 1003402553

Tina Khaled

Practitioner Behavior Technician Prairieville, LA

Practice location

Address: 17505 Old Jefferson Hwy, Prairieville, LA 70769-3930
Phone: (985) 500-3130
Mailing address: 10328 Browning Dr, Baton Rouge, LA 70815-4716

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Louisiana →

Registry record

NPI: 1003402553
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2020
Record last updated: 18 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.