Organization
SPECIALIZED THERAPIES FOR AUTISM AND RELATED SERVICES
Active
Other names
S.T.A.R.S. Consulting, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE BARTLETT HICKERSON MS, BCBA, LBA (OWNER/CLINICAL DIRECTOR)
(916) 397-4045
Entity
Organization
Contact information
Practice address
3202 MALLARD LN, GRETNA, LA 70056-7795
(916) 397-4045
Mailing address
3202 MALLARD LN, GRETNA, LA 70056-7795
(916) 397-4045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-155
LA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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