| Saint Nicholas Center For Early Intervention | |
|
314 Broad St Suite B Lake Charles LA 70601-4224 | |
| (337) 491-0800 | |
| (337) 491-0508 |
| Full Name | Saint Nicholas Center For Early Intervention |
|---|---|
| Speciality | Behavior Analyst |
| Location | 314 Broad St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Dynette P Hoffpauir (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 3374910800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Nicholas Center For Early Intervention 314 Broad St Suite B Lake Charles LA 70601-4224 Ph: (337) 491-0800 | Saint Nicholas Center For Early Intervention 314 Broad St Suite B Lake Charles LA 70601-4224 Ph: (337) 491-0800 |
| NPI Number | 1033441126 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033441126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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