| Nola Behavioral Consultants, Llc | |
|
70216 8th St Covington LA 70433-5366 | |
| (985) 492-3315 | |
| Not Available |
| Full Name | Nola Behavioral Consultants, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 70216 8th St, Covington, Louisiana |
| Authorized Official Name and Position | Ken Macurik (BCBA-D) |
| Authorized Official Contact | 9854923315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nola Behavioral Consultants, Llc 70216 8th St Covington LA 70433-5366 Ph: (985) 492-3315 | Nola Behavioral Consultants, Llc 70216 8th St Covington LA 70433-5366 Ph: (985) 492-3315 |
| NPI Number | 1306342993 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306342993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 113 (Louisiana) | Primary |
| 106S00000X | Behavior Technician | (Louisiana) | Secondary |
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