# EXCELTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** George Washington Carver Collegiate Academy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114469517
- **Authorized official:** MATILDA TENNESSEE (RCM)
- **Authorized official phone:** (504) 524-1210

## Contact information

- **Practice address:** 3059 HIGGINS BLVD, NEW ORLEANS, LA 70126-5422
- **Practice address phone:** (504) 524-1210
- **Practice address fax:** (504) 524-1491
- **Mailing address:** 1515 POYDRAS ST STE 1070, NEW ORLEANS, LA 70112-4520
- **Mailing address phone:** (504) 521-1210
- **Mailing address fax:** (504) 524-1491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106E00000X | Assistant Behavior Analyst | — | NULL | Yes |
| 106E00000X | Assistant Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 11/16/2016