DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY THEOBALD

Active

AMY THEOBALD is a Behavior Analyst healthcare provider located in GRAND COTEAU, Louisiana. NPI 1265877450 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · GRAND COTEAU, LA

Registration Details

NPI Number
1265877450
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2013 (13.263744701929 yrs)
Last Updated
Nov 18, 2013
License
1-13-14414 (LA)

Practice Information

Address
280 LLOYD LEWIS
GRAND COTEAU, LA, 70541
Browse LA providers · Browse ZIP 70541
Phone
3373566006
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Developmental Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.