Gulf South Aba, Llc | |
3013 27th St Metairie LA 70002-6013 | |
(504) 780-1702 | |
Not Available |
Full Name | Gulf South Aba, Llc |
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Speciality | Behavior Analyst |
Location | 3013 27th St, Metairie, Louisiana |
Authorized Official Name and Position | Kevin J Bianchini (MANAGING MEMBER) |
Authorized Official Contact | 5047801702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulf South Aba, Llc 2901 N I 10 Service Rd E Ste 300 Metairie LA 70002-6137 Ph: (504) 780-1702 | Gulf South Aba, Llc 3013 27th St Metairie LA 70002-6013 Ph: (504) 780-1702 |
NPI Number | 1609354448 |
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Provider Enumeration Date | 08/03/2018 |
Last Update Date | 08/03/2018 |
Identifier | Type | State | Issuer |
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1609354448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Lynn J. Friedman, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Loveland St, Metairie, LA 70006 Phone: 504-455-6569 | |
Bianchini-etherton Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3939 Houma Blvd, Suite #223, Metairie, LA 70006 Phone: 504-780-1702 Fax: 504-780-1705 | |