| Behavioral Developmental Services | |
|
3201 Armand St Monroe LA 71201-3915 | |
| (318) 600-6640 | |
| (318) 605-2662 |
| Full Name | Behavioral Developmental Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3201 Armand St, Monroe, Louisiana |
| Authorized Official Name and Position | Lloyd J Boudloche (OWNER/THERAPIST) |
| Authorized Official Contact | 3186006640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Developmental Services Po Box 1148 West Monroe LA 71294 Ph: (318) 600-6640 | Behavioral Developmental Services 3201 Armand St Monroe LA 71201-3915 Ph: (318) 600-6640 |
| NPI Number | 1023454451 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023454451 | NPI | - | NPPES |
| 2349376 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4601 (Louisiana) | Secondary |
| 103K00000X | Behavior Analyst | L-005 (Louisiana) | Primary |
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