KIAH DANAE PANNEBAKER

BOSSIER CITY, LA
NPI1265187124
Former NameKIAH DANAE PHILLIPS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-22-199148)
Enumeration Date2022-02-18
Last Update Date2022-02-18
Business Address
KIAH DANAE PANNEBAKER RBT
4440 VIKING DR
BOSSIER CITY, LA 71111-7511
Phone number: 318-588-8908
Mailing Address
KIAH DANAE PANNEBAKER RBT
PO BOX 1823
WEST MONROE, LA 71294-1823
Phone number: 318-588-8908
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