Provider Demographics
NPI:1669011029
Name:KWP BEHAVIOR SERVICES LLC
Entity Type:Organization
Organization Name:KWP BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:WROBLESKI
Authorized Official - Last Name:PAPE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA, LBA
Authorized Official - Phone:281-794-4359
Mailing Address - Street 1:7556 DENHAM DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-8903
Mailing Address - Country:US
Mailing Address - Phone:281-794-4359
Mailing Address - Fax:
Practice Address - Street 1:7556 DENHAM DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-8903
Practice Address - Country:US
Practice Address - Phone:281-794-4359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health