Healthcare Provider Details

I. General information

NPI: 1235902867
Provider Name (Legal Business Name): G. E. BEHAVIORAL INTERVENTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 CEDAR CREEK ST
MARRERO LA
70072-6736
US

IV. Provider business mailing address

2660 CEDAR CREEK ST
MARRERO LA
70072-6736
US

V. Phone/Fax

Practice location:
  • Phone: 504-428-4000
  • Fax:
Mailing address:
  • Phone: 504-428-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JACQUELINE JONES
Title or Position: OWNER
Credential:
Phone: 504-428-4000