| Hari Srinivasa | |
|
2036 Jackson St Alexandria LA 71301-6439 | |
| (318) 641-0444 | |
| (318) 614-6118 |
| Full Name | Hari Srinivasa |
|---|---|
| Speciality | Assistant Behavior Analyst |
| Location | 2036 Jackson St, Alexandria, Louisiana |
| Authorized Official Name and Position | Anil Danivas (OWNER/OPERATOR) |
| Authorized Official Contact | 3186410444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hari Srinivasa 2036 Jackson St Alexandria LA 71301-6439 Ph: (318) 641-0444 | Hari Srinivasa 2036 Jackson St Alexandria LA 71301-6439 Ph: (318) 641-0444 |
| NPI Number | 1619693934 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619693934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Primary |
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