Southern Louisiana Behavior Consultants Llc | |
111 Energy Pkwy Lafayette LA 70508-3817 | |
(337) 270-8585 | |
Not Available |
Full Name | Southern Louisiana Behavior Consultants Llc |
---|---|
Speciality | Behavior Analyst |
Location | 111 Energy Pkwy, Lafayette, Louisiana |
Authorized Official Name and Position | Kimberly Borman (OWNER - CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3375526767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Louisiana Behavior Consultants Llc 100 Harton Rd Youngsville LA 70592-6386 Ph: (337) 552-6767 | Southern Louisiana Behavior Consultants Llc 111 Energy Pkwy Lafayette LA 70508-3817 Ph: (337) 270-8585 |
NPI Number | 1417563370 |
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Provider Enumeration Date | 09/16/2020 |
Last Update Date | 06/27/2023 |
Certification Date | 06/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417563370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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