| St Nicholas Center For Early Intervention | |
|
343 Broad St Lake Charles LA 70601-4223 | |
| (337) 656-2561 | |
| (337) 656-2562 |
| Full Name | St Nicholas Center For Early Intervention |
|---|---|
| Speciality | Behavior Analyst |
| Location | 343 Broad St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Christy Jones (HEAD OF BOARD) |
| Authorized Official Contact | 3376562561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Nicholas Center For Early Intervention 519 Clarence St Lake Charles LA 70601-5205 Ph: (337) 656-2561 | St Nicholas Center For Early Intervention 343 Broad St Lake Charles LA 70601-4223 Ph: (337) 656-2561 |
| NPI Number | 1740503952 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740503952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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