Doretha Nicole Hardy

NPI #1013405083 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1013405083
Entity Type: Individual
Name: Doretha Nicole Hardy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 25, 2018
Last Updated: Apr 25, 2018

Practice Location

Address: 11606 SOUTHFORK AVE STE 300
City: Baton Rouge
State: Louisiana
ZIP Code: 70816-5238
Phone: (225) 292-5981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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