| Atlas Autism Center | |
|
1000 Behrman Hwy Gretna LA 70056-4596 | |
| (504) 265-0548 | |
| Not Available |
| Full Name | Atlas Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1000 Behrman Hwy, Gretna, Louisiana |
| Authorized Official Name and Position | Ian Rene Vignes (OWNER, BCBA) |
| Authorized Official Contact | 5042650548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Autism Center 1000 Behrman Hwy Gretna LA 70056-4596 Ph: (504) 265-0548 | Atlas Autism Center 1000 Behrman Hwy Gretna LA 70056-4596 Ph: (504) 265-0548 |
| NPI Number | 1013402726 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013402726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | L-171 (Louisiana) | Primary |
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