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Organization
NORTHPOINT PEDIATRIC BEHAVIOR THERAPY
Active
Organization
NORTHPOINT PEDIATRIC BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN TERRELL NICHOLSON LBA (LICENSED BEHAVIOR ANALYST)
(318) 243-6962
Entity
Organization
Contact information
Practice address
302 BARKER DR, MONROE, LA 71203-6544
(318) 243-6962
Mailing address
302 BARKER DR, MONROE, LA 71203-6544
(318) 243-6962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-063
LA
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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