| NPI | 1871310714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DUPRE Member Manager 225-333-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-01-17 |