Most Relevant Information
Provider Data
| NPI Number: | 1003356510 |
| Provider Name: | WYNEISHA RANDLE |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/02/2017 |
| Last Updated: | 03/02/2017 |
Provider Practice Location
103 4TH ST
JONESBORO
LA
712513346
Practice Location Phone/Fax
| Phone: | 3182591500 |
| Fax: | 3182591580 |
Provider Mailing Location
103 4TH ST
JONESBORO
LA
712513346
Provider Mailing Phone/Fax
| Phone: | 3182591500 |
| Fax: | 3182591580 |