Masterpiece Behavior Services
Behavior Analyst in Ruston, LA. Organization (NPI-2).
NPI number1063176071
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1063176071
- Entity type
- Organization (NPI-2)
- Legal business name
- Masterpiece Behavior Services
- Organization subpart
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
2100 Floyd Park Dr Ste 2Ruston, LA 71270-6648
Phone 318-548-1589
Mailing address
2100 Floyd Park Dr Ste 2Ruston, LA 71270-6648
Phone 318-548-1589
Other practice locations
103 Adam Cir
Ruston, LA 71270-1612
Ruston, LA 71270-1612
Phone 318-548-1589
Authorized official
John Seth Smith
Bcba
3185481589
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