Organization
LOUISIANA ADVANCED BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD JOSEPH BOUDLOCHE JR. (CO-OWNER)
(318) 376-4425
Entity
Organization
Contact information
Practice address
805 STUBBS AVE STE C, MONROE, LA 71201-5579
(318) 600-6640
Mailing address
PO BOX 13102, RUSTON, LA 71273-3102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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