Provider Demographics
NPI:1770240087
Name:MISS B'S BUTTERFLIES ABA, PT, OT AND ST SERVICES, LLC.
Entity Type:Organization
Organization Name:MISS B'S BUTTERFLIES ABA, PT, OT AND ST SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BELLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-663-6794
Mailing Address - Street 1:3462 ALETHA DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-4601
Mailing Address - Country:US
Mailing Address - Phone:225-221-9196
Mailing Address - Fax:
Practice Address - Street 1:1200 S ACADIAN THRUWAY STE 217
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6900
Practice Address - Country:US
Practice Address - Phone:225-221-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-21
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2486683Medicaid