Organization
BEHAVIORAL GROUP OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARKIN NEWSOM BCBA, LBA (OWNER / CLINICAL DIRECTOR)
(901) 605-0168
Entity
Organization
Contact information
Practice address
15895 FRENCHTOWN RD, GREENWELL SPRINGS, LA 70739-3630
(901) 605-0168
Mailing address
15895 FRENCHTOWN RD, GREENWELL SPRINGS, LA 70739-3630
(901) 605-0168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285135624
PERSONAL NPI
LA
Enumeration date
06/17/2022
Last updated
06/17/2022
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