Magnolia Autism Services, LLC

Organization Active NPI Behavior Analyst · Lacombe, LA

NPI 1235849753 · NPPES record last updated Nov 28, 2022

Key facts

NPI
1235849753
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
MAGNOLIA AUTISM SERVICES, LLC
Practice address
30276 Sherwood Dr
Lacombe, LA 70445-3020
Phone
(620) 672-2228
NPI assigned
Nov 28, 2022
Organization subpart
No

Authorized official

Name
Eleanor M Anthony, BCBA/LBA
Title
Owner
Phone
(620) 672-2228

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193200000X MULTI-SPECIALTY GROUP
103K00000X Yes

Addresses

Primary practice location

30276 Sherwood Dr
Lacombe, LA 70445-3020

Mailing address

30276 Sherwood Dr
Lacombe, LA 70445-3020
Phone (620) 672-2228

Other providers in Lacombe, LA

All providers in Lacombe, LA · Behavior Analyst in Louisiana

Sources for this page

Verify at the official NPI Registry.