Organization
MCCORMACK ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RAY MCCORMACK BCBA (OWNER)
(318) 237-8216
Entity
Organization
Contact information
Practice address
1003 SHERWOOD DR, RUSTON, LA 71270-2135
(318) 237-8216
Mailing address
1003 SHERWOOD DR, RUSTON, LA 71270-2135
(318) 237-8216
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442210
—
LA
Enumeration date
02/07/2020
Last updated
03/02/2025
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