Organization
KOABA KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROSE PLA M.ED., BCBA, LBA (BEHAVIOR ANALYST)
(443) 535-3819
Entity
Organization
Contact information
Practice address
4924 ANTONINI DR, METAIRIE, LA 70006-2144
(443) 535-3819
Mailing address
4924 ANTONINI DR, METAIRIE, LA 70006-2144
(443) 535-3819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-061
LA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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