| Positive Behavior Change | |
|
422 Vfw Rd Leesville LA 71446-6302 | |
| (917) 526-2384 | |
| Not Available |
| Full Name | Positive Behavior Change |
|---|---|
| Speciality | Behavior Analyst |
| Location | 422 Vfw Rd, Leesville, Louisiana |
| Authorized Official Name and Position | Danielle Renee Bratton (BEHAVIOR ANALYST) |
| Authorized Official Contact | 9175262384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavior Change 422 Vfw Rd Leesville LA 71446-6302 Ph: (917) 526-2384 | Positive Behavior Change 422 Vfw Rd Leesville LA 71446-6302 Ph: (917) 526-2384 |
| NPI Number | 1548976640 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548976640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
| 106E00000X | Assistant Behavior Analyst | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
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