Provider Demographics
NPI:1952784068
Name:CONWAY-STRAWDER, DONNICA LYNN (BCBA)
Entity Type:Individual
Prefix:
First Name:DONNICA
Middle Name:LYNN
Last Name:CONWAY-STRAWDER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 MARYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-2029
Mailing Address - Country:US
Mailing Address - Phone:504-415-7975
Mailing Address - Fax:
Practice Address - Street 1:63 MARYWOOD CT
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-2029
Practice Address - Country:US
Practice Address - Phone:504-415-7975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-19-38666103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst