Pantheon Aba, LLC

NPI #1770219891 in Lake Charles, Louisiana

Provider Information

NPI Number
1770219891
Entity Type
Organization
Organization Name
Pantheon Aba, LLC
Primary Specialty
Behavior Analyst
Enumeration Date
Jul 29, 2022
Last Updated
Jul 29, 2022

Practice Location

Address
5154 GARLAND DR APT A
ZIP Code
70605-6069
Phone
(318) 554-8348

Authorized Official

Name
MAGGIE MARIE KURTZUBA, M.A., LBA, BCBA
Title
OWNER/DIRECTOR
Phone
(318) 554-8348

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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