Irelyn Claire Heathcock

NPI #1124895933 in Gonzales, Louisiana

Provider Information

NPI Number: 1124895933
Entity Type: Individual
Name: Irelyn Claire Heathcock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 11, 2023
Last Updated: Dec 11, 2023

Practice Location

Address: 1028 E WORTHY ST
City: Gonzales
State: Louisiana
ZIP Code: 70737-4367
Phone: (855) 345-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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