Provider Demographics
NPI:1205651601
Name:DRAUGHON, AMANDA (BCABA)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:DRAUGHON
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 W HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1301
Mailing Address - Country:US
Mailing Address - Phone:504-264-7079
Mailing Address - Fax:504-553-1113
Practice Address - Street 1:131 W HARRISON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-1301
Practice Address - Country:US
Practice Address - Phone:504-264-7079
Practice Address - Fax:504-553-1113
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst