DUSTIN ANDERSON

BASTROP, LA
NPI1710359799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2015-10-29
Last Update Date2018-07-12
Business Address
DUSTIN ANDERSON
644 E JEFFERSON AVE
BASTROP, LA 71220
Phone number: 318-239-3862
Mailing Address
DUSTIN ANDERSON
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862