Koaba Kids, Llc | |
4924 Antonini Dr Metairie LA 70006-2144 | |
(443) 535-3819 | |
Not Available |
Full Name | Koaba Kids, Llc |
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Speciality | Behavior Analyst |
Location | 4924 Antonini Dr, Metairie, Louisiana |
Authorized Official Name and Position | Jennifer Rose Pla (BEHAVIOR ANALYST) |
Authorized Official Contact | 4435353819 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Koaba Kids, Llc 4924 Antonini Dr Metairie LA 70006-2144 Ph: (443) 535-3819 | Koaba Kids, Llc 4924 Antonini Dr Metairie LA 70006-2144 Ph: (443) 535-3819 |
NPI Number | 1508268202 |
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Provider Enumeration Date | 09/24/2014 |
Last Update Date | 09/24/2014 |
Identifier | Type | State | Issuer |
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1508268202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | L-061 (Louisiana) | 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 | |