NPI 1811628241 · live from the CMS NPI Registry
Behavioral Group Of Louisiana, LLC
Behavior Analyst in Greenwell Springs, LA. National Provider Identifier 1811628241, active.
NPI record
| NPI | 1811628241 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 15895 Frenchtown Rd, Greenwell Springs, LA 70739 |
| Practice phone | 901-605-0168 |
| Enumerated | June 17, 2022 |
| Last updated | June 17, 2022 |
| Authorized official | Larkin Newsom, Owner / Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.