Healthcare Provider Details
I. General information
NPI: 1639034051
Provider Name (Legal Business Name): LCA ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3220 OLD CANTON RD
JACKSON MS
39216-4221
US
IV. Provider business mailing address
4780 I 55 N STE 100-1143
JACKSON MS
39211-5542
US
V. Phone/Fax
- Phone: 504-559-3455
- Fax:
- Phone: 504-559-3455
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
C
ARCURI
Title or Position: OWNER/BCBA
Credential: BCBA, LBA
Phone: 504-559-3455