AMY THEOBALD

GRAND COTEAU, LA
NPI1265877450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: LA  1-13-14414)
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2013-05-01
Last Update Date2013-11-18
Business Address
-- AMY THEOBALD
280 LLOYD LEWIS
GRAND COTEAU, LA 70541
Phone number: 337-356-6006
Mailing Address
-- AMY THEOBALD
PO BOX 444
GRAND COTEAU, LA 70541-0444
Phone number: 337-356-6006