Organization
POSITIVE OUTCOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN PETERS BCBA (OWNER)
(318) 396-5210
Entity
Organization
Contact information
Practice address
3602 CYPRESS ST STE D, WEST MONROE, LA 71291-7314
(318) 396-5210
(318) 654-4248
Mailing address
3602 CYPRESS ST STE D, WEST MONROE, LA 71291-7314
(318) 396-5210
(318) 654-4248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
056
LA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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