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NPI Code Detail

MEDICARE: ASCENT BEHAVIOR THERAPY CENTER LLC

MEDICARE: ASCENT BEHAVIOR THERAPY CENTER 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
1251S00000XCommunity/Behavioral Health Agency
2261Q00000XClinic/Center
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1871310714
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENT BEHAVIOR THERAPY CENTER LLC
Provider Business Mailing Address
First Line : PO BOX 14823
Second Line :
City : BATON ROUGE
State : LA
Zip : 70898-4823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5349 FLANDERS DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4349
Country : US
Telephone Number : 225-333-8303
Fax Number :
Authorized Official
Title or Position : MEMBER-MANAGER
Name : MRS. ALEXANDRA DUPRE
Credential : BCBA
Telephone Number : 225-333-8303
Provider Enumeration Date : 09/23/2024
Last Update Date : 01/17/2025

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Directions to “ASCENT BEHAVIOR THERAPY CENTER LLC ” Practice Location

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