DR. Gloria Boutte, DOCTOR

NPI #1407382955 in Scott, Louisiana

Provider Information

NPI Number: 1407382955
Entity Type: Individual
Name: DR. Gloria Boutte, DOCTOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: DOCTOR
Enumeration Date: May 3, 2017
Last Updated: May 3, 2017

Practice Location

Address: 124 ABIGAYLE ROW
City: Scott
State: Louisiana
ZIP Code: 70583-8909
Phone: (337) 504-2655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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