Organization
AUTISM LEARNING CENTER LLC
Active
Other names
Autism Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE MOSS (INSURANCE ADMINISTRATOR)
(318) 323-1223
Entity
Organization
Contact information
Practice address
810 N. 29TH ST, MONROE, LA 71201
(318) 323-1223
(318) 323-1224
Mailing address
810 N. 29TH ST., MONROE, LA 71201
(318) 323-1223
(318) 323-1224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-08-4659
LA
225X00000X
Occupational Therapist
1059396
LA
235Z00000X
Speech-Language Pathologist
5508
LA
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
09/16/2010
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