Organization
MASTERMINDS PEDIATRIC THERAPY LLC
Active
Other names
Masterminds Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REAGAN KOURY MERRIMAN BCBA (OWNER)
(337) 375-7443
Entity
Organization
Contact information
Practice address
801 FOREST DRIVE, SIMPSON, LA 71474
(337) 375-7443
Mailing address
PO BOX 328, SIMPSON, LA 71474-0328
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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