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NPI 1154831055

NPI 1154831055 : AUTISM NOMORE, LLC : NEW ORLEANS, LA

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General NPI Number Information
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    NPI Number           |    1154831055
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUTISM NOMORE, LLC 
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Dates
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    Enumeration Date     |    10/05/2017
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    4419 SAINT CHARLES AVE APT 4 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70115-4861
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    Country              |    US
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    Telephone            |    225-266-7214
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    Fax                  |    205-832-6845
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Provider Business Mailing Address
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    Address Line         |    4419 SAINT CHARLES AVE APT 4 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70115-4861
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    Country              |    US
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    Telephone            |    225-266-7214
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    Fax                  |    205-832-6845
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Authorized Official
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    Title or Position    |    BEHAVIOR ANALYST
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    Name                 |    DR. ERIN CUNEO PERRY 
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    Credential           |    PH.D. B.C.B.A.-D.
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    Telephone            |    225-266-7214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    L-048
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    License Number State |    LA
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