Provider Demographics
NPI:1013464296
Name:CUSPS AND CAPABILITIES LLC
Entity Type:Organization
Organization Name:CUSPS AND CAPABILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GILCREASE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:985-872-9838
Mailing Address - Street 1:7835 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-3112
Mailing Address - Country:US
Mailing Address - Phone:985-872-9838
Mailing Address - Fax:985-872-9866
Practice Address - Street 1:7835 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-3112
Practice Address - Country:US
Practice Address - Phone:985-872-9838
Practice Address - Fax:985-872-9866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL043103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2375300Medicaid