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NPI Code Detail

MEDICARE: MARLAYNA P WARD

MEDICARE:   MARLAYNA P WARD
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1992520555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLAYNA P WARD
Provider Business Mailing Address
First Line : 9306 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1702 N BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-2141
Country : US
Telephone Number : 225-257-9574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2024
Last Update Date : 11/19/2024

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Directions to “ MARLAYNA P WARD ” Practice Location

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