| Independence Community Learning Center, Llc. | |
|
7135 Kent Dr Baker LA 70714-5235 | |
| (225) 245-0334 | |
| Not Available |
| Full Name | Independence Community Learning Center, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7135 Kent Dr, Baker, Louisiana |
| Authorized Official Name and Position | Trematrice Denise Duncan (OWNER) |
| Authorized Official Contact | 2252450334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Community Learning Center, Llc. 7135 Kent Dr Baker LA 70714-5235 Ph: (225) 245-0334 | Independence Community Learning Center, Llc. 7135 Kent Dr Baker LA 70714-5235 Ph: (225) 245-0334 |
| NPI Number | 1265900443 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265900443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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