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GULF SOUTH BR - ABA LLC NPI 1871089763


NPI Information

NPI: 1871089763
Provider Name: GULF SOUTH BR - ABA, LLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
9063 SIEGEN LN STE A
BATON ROUGE, LA
ZIP 70810
Phone: (504) 780-1702
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GULF SOUTH BR - ABA, LLC is a clinical child and adolescent psychologist in Baton Rouge, LA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. GULF SOUTH BR - ABA, LLC NPI is 1871089763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9063 SIEGEN LN STE A
BATON ROUGE, LA
ZIP 70810
Phone: (504) 780-1702

The provider's authorized official is Kevin J Bianchini .
The authorized official title is Managing Member and has the following contact phone number (504) 780-1702.

The enumeration date for this NPI number is 7/3/2018 and was last updated on 7/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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