| Footprints Aba Therapy Llc | |
|
598 Augustine Dr Lake Charles LA 70611-4625 | |
| (337) 250-5334 | |
| Not Available |
| Full Name | Footprints Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 598 Augustine Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Nicole Ardoin (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 3372505334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Aba Therapy Llc 598 Augustine Dr Lake Charles LA 70611-4625 Ph: (337) 250-5334 | Footprints Aba Therapy Llc 598 Augustine Dr Lake Charles LA 70611-4625 Ph: (337) 250-5334 |
| NPI Number | 1841014644 |
|---|---|
| Provider Enumeration Date | 11/09/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841014644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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