| New Beginnings Behavior Services, Llc | |
|
104 Copper Run Dr Monroe LA 71203-4017 | |
| (318) 376-4425 | |
| Not Available |
| Full Name | New Beginnings Behavior Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 104 Copper Run Dr, Monroe, Louisiana |
| Authorized Official Name and Position | Lloyd Joseph Boudloche (OWNER) |
| Authorized Official Contact | 3183764425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Behavior Services, Llc Po Box 569 Swartz LA 71281-0569 Ph: (318) 376-4425 | New Beginnings Behavior Services, Llc 104 Copper Run Dr Monroe LA 71203-4017 Ph: (318) 376-4425 |
| NPI Number | 1295360154 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295360154 | NPI | - | NPPES |
| 2349376 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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