| Ilivelife.org | |
|
5583 Hermitage Dr Baton Rouge LA 70806-1904 | |
| (225) 571-3008 | |
| Not Available |
| Full Name | Ilivelife.org |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5583 Hermitage Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Latocia R Robins (OWNER) |
| Authorized Official Contact | 2255713008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilivelife.org 5583 Hermitage Dr Baton Rouge LA 70806-1904 Ph: (225) 571-3008 | Ilivelife.org 5583 Hermitage Dr Baton Rouge LA 70806-1904 Ph: (225) 571-3008 |
| NPI Number | 1881057610 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881057610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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