Healthcare Provider Details
I. General information
NPI: 1871207670
Provider Name (Legal Business Name): NO MISSING PIECES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2023
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10510 JOOR RD STE 300A
BATON ROUGE LA
70818-3925
US
IV. Provider business mailing address
10510 JOOR RD STE 300A
BATON ROUGE LA
70818-3925
US
V. Phone/Fax
- Phone: 225-960-2403
- Fax: 225-256-1707
- Phone: 225-960-2403
- Fax: 225-256-1707
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SHANTAE
CAVALIER
Title or Position: OWNER/ CEO
Credential: RBT, LPCT
Phone: 225-302-3230