Provider Demographics
NPI:1841561966
Name:SLAUGHTER, LORITA LYNETTE (BCBA)
Entity Type:Individual
Prefix:MS
First Name:LORITA
Middle Name:LYNETTE
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 HOFFPAUIR RD
Mailing Address - Street 2:
Mailing Address - City:RAGLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70657-6233
Mailing Address - Country:US
Mailing Address - Phone:337-515-2994
Mailing Address - Fax:
Practice Address - Street 1:855 SHIRLEY RD
Practice Address - Street 2:
Practice Address - City:BUNKIE
Practice Address - State:LA
Practice Address - Zip Code:71322-1540
Practice Address - Country:US
Practice Address - Phone:318-346-9288
Practice Address - Fax:318-346-9269
Is Sole Proprietor?:No
Enumeration Date:2012-01-20
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst