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Northshore Autism Center, LLC — NPI 1629512652, Mandeville, LA | NPI Central

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NPI 1629512652

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Northshore Autism Center, LLC

NPI 1629512652 · Early Intervention Provider Agency · Mandeville, LA

Provider details

NPI number: 1629512652
Entity type: Organization
Primary specialty: Early Intervention Provider AgencyAgencies
Authorized official: Chad Favre, Director

Practice location

800 Jackson Ave

Mandeville, LA 70448-5328

Phone: (985) 502-1884

Fax: (504) 617-7811

More LA providers

Mailing address

345 Forest Brook Blvd

Mandeville, LA 70448-8474

Registry dates

Enumerated: 2016-12-09
Last updated: 2020-06-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.