Raven Shay Vicknair
Raven Shay Vicknair is a Behavior Technician in Metairie, Louisiana. Licensed in Louisiana. Registered with an NPI since 2022.
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
4201 N I 10 Service Rd WMetairie, LA 70006-6713
Phone: (504) 475-5303
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (LA) |
|---|
Record details
| NPI number | 1689328700 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 8, 2022 |
| Last updated in NPPES | February 8, 2022 |
| Certification date | February 8, 2022 |
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