Healthcare Provider Details

I. General information

NPI: 1992284764
Provider Name (Legal Business Name): LAURA ASHLEY GUZZARDO M.A. BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2018
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 N RANGE AVE STE B
DENHAM SPRINGS LA
70726-2431
US

IV. Provider business mailing address

7784 INNOVATION PARK DR
BATON ROUGE LA
70820-7006
US

V. Phone/Fax

Practice location:
  • Phone: 225-791-0617
  • Fax: 225-778-5439
Mailing address:
  • Phone: 225-343-4232
  • Fax: 225-343-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number695
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: