Provider Demographics
NPI:1205346731
Name:QUAID, CAROLINE (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:QUAID
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 DEMOSTHENES ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2701
Mailing Address - Country:US
Mailing Address - Phone:504-885-4327
Mailing Address - Fax:
Practice Address - Street 1:1515 DEMOSTHENES ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2701
Practice Address - Country:US
Practice Address - Phone:504-885-4327
Practice Address - Fax:504-885-4327
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-240103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst