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Organization

NOLA BEHAVIORAL CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEN MACURIK BCBA-D (BCBA-D)
(985) 492-3315
Entity
Organization

Contact information

Practice address
70216 8TH ST, COVINGTON, LA 70433-5366
(985) 492-3315
Mailing address
70216 8TH ST, COVINGTON, LA 70433-5366
(985) 492-3315

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
113
LA
106S00000X
Behavior Technician
LA

Other

Enumeration date
04/03/2018
Last updated
06/16/2018
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