| Louisiana Developmental Center | |
|
1802 Wilson Dr Opelousas LA 70570-5722 | |
| (337) 344-7897 | |
| Not Available |
| Full Name | Louisiana Developmental Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1802 Wilson Dr, Opelousas, Louisiana |
| Authorized Official Name and Position | Colby Gothreaux (OWNER/BCBA) |
| Authorized Official Contact | 3373088711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Developmental Center 1802 Wilson Dr Opelousas LA 70570-5722 Ph: () - | Louisiana Developmental Center 1802 Wilson Dr Opelousas LA 70570-5722 Ph: (337) 344-7897 |
| NPI Number | 1326823287 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326823287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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