Healthcare Provider Details

I. General information

NPI: 1619888146
Provider Name (Legal Business Name): WONDERLAND ABA CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N 4TH ST
LANDER WY
82520-2819
US

IV. Provider business mailing address

273 HOUSTON RD
RUSTON LA
71270-1151
US

V. Phone/Fax

Practice location:
  • Phone: 318-548-1189
  • Fax:
Mailing address:
  • Phone:
  • 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 Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. FRANCES GWIN LEBEAU
Title or Position: OWNER
Credential:
Phone: 318-548-1189