Organization
ABA SERVICES OF THE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY R THEOBALD (EXECUTIVE DIRECTOR)
(337) 366-2567
Entity
Organization
Contact information
Practice address
512 THOROUGHBRED DR, LAFAYETTE, LA 70507-6568
(337) 366-2567
Mailing address
512 THOROUGHBRED DR, LAFAYETTE, LA 70507-6568
(337) 739-8005
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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