Shayne Willard

NPI #1740004506 in Bastrop, Louisiana

Provider Information

NPI Number: 1740004506
Entity Type: Individual
Name: Shayne Willard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 8, 2024
Last Updated: Nov 8, 2024

Practice Location

Address: 2048 E MADISON AVE
City: Bastrop
State: Louisiana
ZIP Code: 71220-4035
Phone: (318) 379-3214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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