| Masterpiece Behavior Services | |
|
2100 Floyd Park Dr Ste 2 Ruston LA 71270-6648 | |
| (318) 548-1589 | |
| Not Available |
| Full Name | Masterpiece Behavior Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2100 Floyd Park Dr Ste 2, Ruston, Louisiana |
| Authorized Official Name and Position | John Seth Smith (BCBA) |
| Authorized Official Contact | 3185481589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masterpiece Behavior Services 2100 Floyd Park Dr Ste 2 Ruston LA 71270-6648 Ph: (318) 548-1589 | Masterpiece Behavior Services 2100 Floyd Park Dr Ste 2 Ruston LA 71270-6648 Ph: (318) 548-1589 |
| NPI Number | 1063176071 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063176071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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