Northpoint Pediatric Behavior Therapy | |
302 Barker Dr Monroe LA 71203-6544 | |
(318) 243-6962 | |
Not Available |
Full Name | Northpoint Pediatric Behavior Therapy |
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Speciality | Behavior Analyst |
Location | 302 Barker Dr, Monroe, Louisiana |
Authorized Official Name and Position | Benjamin Terrell Nicholson (LICENSED BEHAVIOR ANALYST) |
Authorized Official Contact | 3182436962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northpoint Pediatric Behavior Therapy 302 Barker Dr Monroe LA 71203-6544 Ph: (318) 243-6962 | Northpoint Pediatric Behavior Therapy 302 Barker Dr Monroe LA 71203-6544 Ph: (318) 243-6962 |
NPI Number | 1720487226 |
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Provider Enumeration Date | 08/20/2014 |
Last Update Date | 08/20/2014 |
Identifier | Type | State | Issuer |
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1720487226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | L-063 (Louisiana) | Primary |
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