NPI 1790729069 · live from the CMS NPI Registry
Autism Learning Center LLC
Early Intervention Provider Agency in Monroe, LA. National Provider Identifier 1790729069, active.
NPI record
| NPI | 1790729069 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Early Intervention Provider Agency 252Y00000X |
| Practice location | 810 N. 29th St, Monroe, LA 71201 |
| Practice phone | 318-323-1223 |
| Mailing address | 810 N. 29th St., Monroe, LA 71201 |
| Enumerated | June 16, 2006 |
| Last updated | September 16, 2010 |
| Authorized official | Janice Moss, Insurance Administrator |
| Other names | Autism Learning Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 1059396 (LA) |
| Speech-Language Pathologist, | 235Z00000X | 5508 (LA) |
| Behavior Analyst | 103K00000X | 1-08-4659 (LA) |
| Early Intervention Provider Agency primary | 252Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.