Most Relevant Information
Provider Data
| NPI Number: | 1003684614 |
| Provider Name: | COURTLYN DESHEIGH WESTBROOK |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2023 |
| Last Updated: | 12/13/2023 |
Provider Practice Location
42124 VETERANS AVE
HAMMOND
LA
704031427
Practice Location Phone/Fax
| Phone: | 9855003240 |
| Fax: |
Provider Mailing Location
20087 PECAN TRACE DR
PONCHATOULA
LA
704549214
Provider Mailing Phone/Fax
| Phone: | 9852863717 |
| Fax: |