NPI 1114583739

Keenon Jarell Leblanc

Practitioner Behavior Technician Lafayette, LA

Practice location

Address: 603 W Gloria Switch Rd, Lafayette, LA 70507-2315
Phone: (337) 706-5443

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Louisiana →

Registry record

NPI: 1114583739
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2019
Record last updated: 20 May 2019

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.