Organization
LA PAZ, LLC
Active
Other names
LaPaz ABA Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LAKYSHA STARKS- SAMPSON (EXECUTIVE DIRECTOR)
(318) 210-2996
Entity
Organization
Contact information
Practice address
1404 S VIENNA ST, RUSTON, LA 71270-6428
(318) 224-9200
(318) 224-9201
Mailing address
1406 S VIENNA ST, RUSTON, LA 71270-6428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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