Organization
MARK - MEANINGFUL AUTISTIC RESOURCES FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA ROQUEMORE (CHIEF EXECUTIVE OFFICER)
(225) 892-9570
Entity
Organization
Contact information
Practice address
41172 NEW ORLEANS DR, SORRENTO, LA 70778-3424
(225) 892-9570
Mailing address
41172 NEW ORLEANS DR, SORRENTO, LA 70778-3424
(225) 892-9570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
12/07/2021
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