| Behavior Train | |
|
628 Commercial Pkwy Ste 2 West Monroe LA 71292-8062 | |
| (318) 588-8908 | |
| (318) 588-8909 |
| Full Name | Behavior Train |
|---|---|
| Speciality | Behavior Analyst |
| Location | 628 Commercial Pkwy Ste 2, West Monroe, Louisiana |
| Authorized Official Name and Position | Kelli Beavers (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3183256200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Train Po Box 1823 West Monroe LA 71294-1823 Ph: (318) 588-8908 | Behavior Train 628 Commercial Pkwy Ste 2 West Monroe LA 71292-8062 Ph: (318) 588-8908 |
| NPI Number | 1528437050 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528437050 | NPI | - | NPPES |
| 2415662 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Louisiana) | Primary |
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