| Koaba Kids, Llc | |
|
4924 Antonini Dr Metairie LA 70006-2144 | |
| (443) 535-3819 | |
| Not Available |
| Full Name | Koaba Kids, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508268202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | L-061 (Louisiana) | Primary |
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