KALEB D BANKSTON

PRAIRIEVILLE, LA
NPI1720808926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: LA  012333472)
Enumeration Date2024-10-12
Last Update Date2024-10-12
Business Address
Mr. KALEB D BANKSTON
17534 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 70769-3978
Phone number: 985-500-3130
Mailing Address
Mr. KALEB D BANKSTON
996 ROYAL MARCO WAY
MARCO ISLAND, FL 34145-1829
Phone number: