Organization
KALEIDOSCOPE BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LYNN WHITE BCBA (OWNER)
(985) 413-8127
Entity
Organization
Contact information
Practice address
16150 W MAIN ST, CUT OFF, LA 70345-3511
(985) 413-8127
(850) 466-0024
Mailing address
16150 W MAIN ST, CUT OFF, LA 70345-3511
(985) 413-8127
(850) 466-0024
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821542473
NPI1
—
Enumeration date
09/27/2021
Last updated
05/21/2026
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