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1770266215
SHANIQUA MONAE JEFFERSON
LAKE CHARLES, LA
NPI
1770266215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-773)
Enumeration Date
2023-08-10
Last Update Date
2023-08-28
Business Address
SHANIQUA MONAE JEFFERSON MA, BCBA, LBA
127 WILLIAMSBURG ST BLDG E
LAKE CHARLES, LA 70605-5719
Phone number: 337-376-0136
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Mailing Address
SHANIQUA MONAE JEFFERSON MA, BCBA, LBA
PO BOX 12703
LAKE CHARLES, LA 70612-2703
Phone number: 337-376-0136
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