Organization
BEHAVIORAL DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD J BOUDLOCHE JR. BCBA (OWNER/THERAPIST)
(318) 600-6640
Entity
Organization
Contact information
Practice address
3201 ARMAND ST, MONROE, LA 71201-3915
(318) 600-6640
(318) 605-2662
Mailing address
PO BOX 1148, WEST MONROE, LA 71294
(318) 600-6640
(866) 405-4542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4601
LA
103K00000X
Behavior Analyst
Primary
L-005
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349376
—
LA
Enumeration date
05/13/2013
Last updated
03/17/2018
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