Provider Demographics
NPI:1780908814
Name:LOUIS, PIERRE D (MS ED, BCBA)
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:D
Last Name:LOUIS
Suffix:
Gender:M
Credentials:MS ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2216
Mailing Address - Country:US
Mailing Address - Phone:908-510-4451
Mailing Address - Fax:
Practice Address - Street 1:3 WILLOW CT
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-2216
Practice Address - Country:US
Practice Address - Phone:908-510-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst