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 |
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Provider Enumeration Date | 10/26/2021 |
Last Update Date | 07/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063176071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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