Pantheon Aba, Llc

LBN: Pantheon Aba, Llc
Pantheon Aba, Llc is an health care organization with primary practice located at 5154 Garland Dr Apt A , Lake Charles LA 70605-6069. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Pantheon Aba, Llc can be contacted via phone (318) 554-8348, or through Kurtzuba, Maggie Marie via phone (318) 554-8348.

Contact Information

Primary practice address
5154 Garland Dr Apt A Lake Charles LA 70605-6069
Phone: (318) 554-8348
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kurtzuba, Maggie Marie M.A., LBA, BCBA
Phone: (318) 554-8348

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1770219891
LBN Legal business name Pantheon Aba, Llc
DBA Doing business as
Authorized official Kurtzuba, Maggie Marie M.A., LBA, BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2022
Last updated Jul 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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