Spectrum Of Possibilities, Llc | |
108 Picone Rd Houma LA 70363-7051 | |
(985) 860-3752 | |
(985) 209-3051 |
Full Name | Spectrum Of Possibilities, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 108 Picone Rd, Houma, Louisiana |
Authorized Official Name and Position | Victoria C. Domangue (BCBA, LBA, OWNER) |
Authorized Official Contact | 9858603752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spectrum Of Possibilities, Llc 108 Picone Rd Houma LA 70363-7051 Ph: (985) 860-3752 | Spectrum Of Possibilities, Llc 108 Picone Rd Houma LA 70363-7051 Ph: (985) 860-3752 |
NPI Number | 1306403134 |
---|---|
Provider Enumeration Date | 05/28/2019 |
Last Update Date | 08/11/2022 |
Certification Date | 08/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306403134 | NPI | - | NPPES |
L-369 | Other | LA | STATE BEHAVIOR ANALYST LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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