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Ronald Rickey Poulan
Day Training/Habilitation Specialist in Breaux Bridge, Louisiana
NPI 1760954838

Ronald Rickey Poulan is a Day Training/Habilitation Specialist based in Breaux Bridge, LA. Ronald Rickey Poulan practices in Breaux Bridge, LA. The NPI Number for Ronald Rickey Poulan is 1760954838 and holds a License No. (Louisiana).

The current practice location address for Ronald Rickey Poulan is 282 Lawrence St, Breaux Bridge, LA and can be reached out via phone at 337-247-5248. You can also correspond with Ronald Rickey Poulan through the mailing address at 282 LAWRENCE ST, BREAUX BRIDGE, LA - 70517-4206 (mailing address contact number: 337-247-5248).

Location: 282 Lawrence St, Breaux Bridge, LA, 70517-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760954838
Provider Name
Ronald Rickey Poulan
Credential
Provider Entity Type
Individual
Gender
Male
Address
282 Lawrence St, Breaux Bridge, LA, 70517-4206
Phone Number
337-247-5248
Fax Number
Provider Enumeration Date
12/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
282 Lawrence St
City
Breaux Bridge
State
Louisiana
Zip
70517-4206
Phone Number
337-247-5248
Fax Number
person
Provider Business Mailing Address Details
Address
282 Lawrence St
City
Breaux Bridge
State
Louisiana
Zip
70517-4206
Phone Number
337-247-5248
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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