Organization
FOOTPRINTS ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ARDOIN BCBA LBA (OWNER, CLINICAL DIRECTOR)
(337) 250-5334
Entity
Organization
Contact information
Practice address
598 AUGUSTINE DR, LAKE CHARLES, LA 70611-4625
(337) 250-5334
Mailing address
598 AUGUSTINE DR, LAKE CHARLES, LA 70611-4625
(337) 250-5334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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