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General NPI Number Information
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NPI Number | 1609604271
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Entity Type | Organization
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Legal Business Name | GUILLOT THERAPIES LLC
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 181 SCHEXNAYDRE LANE
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City | DESTREHAN
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State | LA
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Zip | 70047-3708
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Country | US
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Telephone | 504-237-2077
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3
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City | DESTREHAN
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State | LA
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Zip | 70047-0003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER GUILLOT
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Credential | BCBA, LBA, MT-BC
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Telephone | 504-237-2077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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