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General NPI Number Information
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NPI Number | 1417897562
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Entity Type | Organization
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Legal Business Name | ST. MARY'S RESIDENTIAL TRAINING SCHOOL
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 6715 HIGHWAY 1
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City | BOYCE
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State | LA
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Zip | 71409-9221
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Country | US
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Telephone | 318-445-6443
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7768
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City | ALEXANDRIA
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State | LA
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Zip | 71306-0768
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Country | US
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Telephone | 318-445-6443
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | KHRISTY ELLIS
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Credential |
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Telephone | 318-445-6443
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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 |
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License Number State |
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