| Shine On The Spectrum | |
|
714 E Kaliste Saloom Rd Ste C1 Lafayette LA 70508-2530 | |
| (318) 664-9801 | |
| Not Available |
| Full Name | Shine On The Spectrum |
|---|---|
| Speciality | Behavior Analyst |
| Location | 714 E Kaliste Saloom Rd Ste C1, Lafayette, Louisiana |
| Authorized Official Name and Position | Frances Reed (OWNER) |
| Authorized Official Contact | 3186649801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine On The Spectrum 306 Pappa Joe Dr Broussard LA 70518-4953 Ph: (318) 664-9801 | Shine On The Spectrum 714 E Kaliste Saloom Rd Ste C1 Lafayette LA 70508-2530 Ph: (318) 664-9801 |
| NPI Number | 1417657362 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 08/22/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417657362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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