Organization
ST NICHOLAS CENTER FOR EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY JONES (HEAD OF BOARD)
(337) 656-2561
Entity
Organization
Contact information
Practice address
343 BROAD ST, LAKE CHARLES, LA 70601-4223
(337) 656-2561
(337) 656-2562
Mailing address
519 CLARENCE ST, LAKE CHARLES, LA 70601-5205
(337) 656-2561
(337) 656-2562
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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