MEDICARE: LCA ABA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1639034051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LCA ABA, LLC

Provider Business Mailing Address
First Line	:	4780 I 55 N STE 100-1143
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-5542
Country	:	US
Telephone Number	:	504-559-3455
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 OLD CANTON RD
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4221
Country	:	US
Telephone Number	:	504-559-3455
Fax Number	:

Authorized Official
Title or Position	:	OWNER/BCBA
Name	:	LAURA C ARCURI
Credential	:	BCBA, LBA
Telephone Number	:	504-559-3455

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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