| Magnolia Autism Services, Llc | |
|
30276 Sherwood Dr Lacombe LA 70445-3020 | |
| (620) 672-2228 | |
| Not Available |
| Full Name | Magnolia Autism Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 30276 Sherwood Dr, Lacombe, Louisiana |
| Authorized Official Name and Position | Eleanor M Anthony (OWNER) |
| Authorized Official Contact | 6206722228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Autism Services, Llc 30276 Sherwood Dr Lacombe LA 70445-3020 Ph: (620) 672-2228 | Magnolia Autism Services, Llc 30276 Sherwood Dr Lacombe LA 70445-3020 Ph: (620) 672-2228 |
| NPI Number | 1235849753 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235849753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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