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General NPI Number Information
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NPI Number | 1841113404
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Entity Type | Organization
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Legal Business Name | LITTLE SMILES LEARNING & BEHAVIORAL CENTER
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 335 AUSTIN ST
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City | BOGALUSA
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State | LA
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Zip | 70427-3817
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Country | US
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Telephone | 985-241-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 411 SABINE ST
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City | BOGALUSA
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State | LA
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Zip | 70427-2616
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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 | WILLISHA PETERS MARKS
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Credential | BSN, RN
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Telephone | 985-570-4220
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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