Organization
TRANSITION ON PURPOSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMIKA RENEE SCOTT MS, ABA, QMHA, QIDP (CHIEF EXECUTIVE OFFICER)
(702) 245-2876
Entity
Organization
Contact information
Practice address
450 E MILLS AVE APT 7, BREAUX BRIDGE, LA 70517-4415
(702) 245-2876
Mailing address
PO BOX 1115, BREAUX BRIDGE, LA 70517-1115
(702) 245-2876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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