| NPI | 1023454451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD J BOUDLOCHE Owner/Therapist 318-600-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-005) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 4601) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2018-03-17 |