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NPI Code Detail

MEDICARE: ASHLEY SOILEAU LBA

MEDICARE:   ASHLEY  SOILEAU  LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystL-1066LA

General Provider Information

NPI Number : 1578427878
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SOILEAU LBA
Provider Business Mailing Address
First Line : 3420 NE EVANGELINE TRWY
Second Line :
City : LAFAYETTE
State : LA
Zip : 70507-2554
Country : US
Telephone Number : 337-534-8679
Fax Number :
Provider Business Practice Location Address
First Line : 3420 NE EVANGELINE TRWY
Second Line :
City : LAFAYETTE
State : LA
Zip : 70507-2554
Country : US
Telephone Number : 337-534-8679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ ASHLEY SOILEAU LBA” Practice Location

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