NPI 1104352038

Specialized Therapies for Autism and Related Services

Organisation Behavior Analyst Gretna, LA

Practice location

Address: 3202 Mallard Ln, Gretna, LA 70056-7795
Phone: (916) 397-4045

Authorised official

Name: Julie Bartlett Hickerson
Title: Owner/Clinical Director
Phone: (916) 397-4045

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence L-155 (LA)

Other Behavior Analyst providers in Louisiana →

Registry record

NPI: 1104352038
Entity type: Organization
NPI issued: 11 May 2017
Record last updated: 11 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.