Organization
BEHAVIORAL INTERVENTION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE BRADFORD (OWNER)
(225) 921-2857
Entity
Organization
Contact information
Practice address
7222 BLUEBONNET BLVD, BATON ROUGE, LA 70810-1611
(225) 757-8002
Mailing address
PO BOX 84376, BATON ROUGE, LA 70884-4376
(225) 757-8002
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
03/25/2010
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