| Milestones Behavioral Services Llc | |
|
3912 Evergreen Street Lake Charles LA 70605-2310 | |
| (337) 540-9737 | |
| Not Available |
| Full Name | Milestones Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3912 Evergreen Street, Lake Charles, Louisiana |
| Authorized Official Name and Position | Melissa Coco Raymond (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 3375409737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestones Behavioral Services Llc 3912 Evergreen Street Lake Charles LA 70605-2310 Ph: (337) 540-9737 | Milestones Behavioral Services Llc 3912 Evergreen Street Lake Charles LA 70605-2310 Ph: (337) 540-9737 |
| NPI Number | 1669735502 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669735502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-5571 (Louisiana) | Primary |
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