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Organization
TRANSITION ON PURPOSE LLC
Active
Organization
TRANSITION ON PURPOSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMIKA RENEE SCOTT MS, ABA, QMHA, QIDP (CHIEF EXECUTIVE OFFICER)
(702) 245-2876
Entity
Organization
Contact information
Practice address
450 E MILLS AVE APT 7, BREAUX BRIDGE, LA 70517-4415
(702) 245-2876
Mailing address
PO BOX 1115, BREAUX BRIDGE, LA 70517-1115
(702) 245-2876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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