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3127 Highway 457 Alexandria LA 71302-9256 | |
(337) 322-4275 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 3127 Highway 457, Alexandria, Louisiana |
Authorized Official Name and Position | Amanda M Galland (BCBA,LBA,CEO) |
Authorized Official Contact | 3373224275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3127 Highway 457 Alexandria LA 71302-9256 Ph: (337) 322-4275 | 3127 Highway 457 Alexandria LA 71302-9256 Ph: (337) 322-4275 |
NPI Number | 1275185654 |
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Provider Enumeration Date | 07/15/2019 |
Last Update Date | 07/18/2019 |
Identifier | Type | State | Issuer |
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1275185654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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