Future Expectations Community Care Services | |
116 South Dr Ste 101 Natchitoches LA 71457-5055 | |
(318) 209-0204 | |
(318) 209-0204 |
Full Name | Future Expectations Community Care Services |
---|---|
Speciality | Behavior Analyst |
Location | 116 South Dr Ste 101, Natchitoches, Louisiana |
Authorized Official Name and Position | Joshlan S Raymo (OWNER) |
Authorized Official Contact | 3182090204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Future Expectations Community Care Services 600 E Main St Winnfield LA 71483-3227 Ph: (318) 209-0204 | Future Expectations Community Care Services 116 South Dr Ste 101 Natchitoches LA 71457-5055 Ph: (318) 209-0204 |
NPI Number | 1578065090 |
---|---|
Provider Enumeration Date | 02/28/2018 |
Last Update Date | 08/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578065090 | NPI | - | NPPES |
1053498741 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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