Individual
DIMALICIA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(877) 418-2978
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/23/2026
Last updated
03/17/2026
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