Divinity Declouet

NPI #1922773142 in Harvey, Louisiana

Provider Information

NPI Number: 1922773142
Entity Type: Individual
Name: Divinity Declouet
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 10, 2021
Last Updated: Aug 10, 2021

Practice Location

Address: 1813 NEWBURY CT
City: Harvey
State: Louisiana
ZIP Code: 70058-5596
Phone: (504) 333-4360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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