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Organization
MASTERMINDS PEDIATRIC THERAPY LLC
Active
Organization
MASTERMINDS PEDIATRIC THERAPY LLC
Active
Other names
Masterminds Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REAGAN KOURY MERRIMAN BCBA (OWNER)
(337) 375-7443
Entity
Organization
Contact information
Practice address
801 FOREST DRIVE, SIMPSON, LA 71474
(337) 375-7443
Mailing address
PO BOX 328, SIMPSON, LA 71474-0328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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