Bright Start Behavioral Services | |
3026 Ryan St Lake Charles LA 70601-8513 | |
(512) 705-7091 | |
Not Available |
Full Name | Bright Start Behavioral Services |
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Speciality | Behavior Analyst |
Location | 3026 Ryan St, Lake Charles, Louisiana |
Authorized Official Name and Position | Sarah Coco Egnatuk (OWNER/ DIRECTOR) |
Authorized Official Contact | 5127057091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Start Behavioral Services 108 W 15th St Lake Charles LA 70601-7216 Ph: (512) 705-7091 | Bright Start Behavioral Services 3026 Ryan St Lake Charles LA 70601-8513 Ph: (512) 705-7091 |
NPI Number | 1801459557 |
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Provider Enumeration Date | 04/18/2019 |
Last Update Date | 04/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801459557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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