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NPI Code Detail

MEDICARE: JODECI DELAHOUSSAYE

MEDICARE: JODECI DELAHOUSSAYE
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 AnalystLA

General Provider Information

NPI Number : 1831648377
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODECI DELAHOUSSAYE
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number : --
Provider Business Practice Location Address
First Line : 209 CENTRE SARCELLE BLVD STE 201
Second Line :
City : YOUNGSVILLE
State : LA
Zip : 70592-6755
Country : US
Telephone Number : 337-857-3674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 05/21/2024

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Directions to “ JODECI DELAHOUSSAYE ” Practice Location

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