| Gulf Coast Behavior Services Llc | |
|
2845 Country Club Rd Apartment 403 Lake Charles LA 70605-5996 | |
| (337) 945-0349 | |
| Not Available |
| Full Name | Gulf Coast Behavior Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2845 Country Club Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Alfred R Tuminello (CEO) |
| Authorized Official Contact | 3379450349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Behavior Services Llc 2845 Country Club Rd Apartment 403 Lake Charles LA 70605-5996 Ph: () - | Gulf Coast Behavior Services Llc 2845 Country Club Rd Apartment 403 Lake Charles LA 70605-5996 Ph: (337) 945-0349 |
| NPI Number | 1144587056 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 04/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144587056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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