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Organization

LIVE OAK BEHAVIORAL PSYCHOLOGY, LLC

Active
Other names
Live Oak Children's Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LACEY LEBLANC SEYMOUR PH.D., BCBA-D (LICENSED PSYCHOLOGIST, DIRECTOR)
(985) 327-7256
Entity
Organization

Contact information

Practice address
56 LOUIS PRIMA DR, SUITE A, COVINGTON, LA 70433-5903
(504) 450-7561
Mailing address
56 LOUIS PRIMA DR, SUITE A, COVINGTON, LA 70433-5903
(985) 327-7256

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
L-065
LA
103T00000X
Psychologist
Primary
1175
LA
221700000X
Art Therapist
225X00000X
Occupational Therapist
OTT.200847
LA
235Z00000X
Speech-Language Pathologist
7333
LA

Other

Enumeration date
11/12/2011
Last updated
03/22/2016
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