| Illuminating Behaviors Inc A Professional Corporation | |
|
804 Highpoint Dr Alexandria LA 71303-2425 | |
| (318) 269-5198 | |
| Not Available |
| Full Name | Illuminating Behaviors Inc A Professional Corporation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 804 Highpoint Dr, Alexandria, Louisiana |
| Authorized Official Name and Position | Sara Mcgee Mansilla (CEO) |
| Authorized Official Contact | 3182695198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Behaviors Inc A Professional Corporation 804 Highpoint Dr Alexandria LA 71303-2425 Ph: (318) 269-5198 | Illuminating Behaviors Inc A Professional Corporation 804 Highpoint Dr Alexandria LA 71303-2425 Ph: (318) 269-5198 |
| NPI Number | 1326609777 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 06/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326609777 | NPI | - | NPPES |
| 2397648 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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