MIA ANN BIVALACQUA

PRAIRIEVILLE, LA
NPI1093470395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-11-02
Last Update Date2021-11-02
Business Address
MIA ANN BIVALACQUA
17505 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769-3930
Phone number: 985-500-3130
Mailing Address
MIA ANN BIVALACQUA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345