Organization
BRIGHTSPOTS BEHAVIOR AND LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY THEOBALD (OWNER)
(337) 739-8005
Entity
Organization
Contact information
Practice address
512 THOROUGHBRED DR, LAFAYETTE, LA 70507-6568
(337) 739-8005
Mailing address
512 THOROUGHBRED DR, LAFAYETTE, LA 70507-6568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L045
LA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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