Mccormack Enterprise, LLC
Behavior Analyst in Ruston, LA. Organization (NPI-2).
NPI number1992337976
StatusActive
Last updated in NPPESMar 2, 2025
Details
- NPI
- 1992337976
- Entity type
- Organization (NPI-2)
- Legal business name
- Mccormack Enterprise, LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2020
- Certification date
- Mar 2, 2025
- Last updated
- Mar 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1003 Sherwood DrRuston, LA 71270-2135
Phone 318-237-8216
Mailing address
1003 Sherwood DrRuston, LA 71270-2135
Phone 318-237-8216
Authorized official
Joshua Ray Mccormack
Owner
3182378216
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