Behavioral Developmental Services | |
3201 Armand St Monroe LA 71201-3915 | |
(318) 600-6640 | |
(318) 605-2662 |
Full Name | Behavioral Developmental Services |
---|---|
Speciality | Behavior Analyst |
Location | 3201 Armand St, Monroe, Louisiana |
Authorized Official Name and Position | Lloyd J Boudloche (OWNER/THERAPIST) |
Authorized Official Contact | 3186006640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Behavioral Developmental Services Po Box 1148 West Monroe LA 71294 Ph: (318) 600-6640 | Behavioral Developmental Services 3201 Armand St Monroe LA 71201-3915 Ph: (318) 600-6640 |
NPI Number | 1023454451 |
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Provider Enumeration Date | 05/13/2013 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023454451 | NPI | - | NPPES |
2349376 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4601 (Louisiana) | Secondary |
103K00000X | Behavior Analyst | L-005 (Louisiana) | Primary |
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