OrganizationActive
Early Behavioral Interventions
NPI 1689128712 · Exclusive Provider Organization · Crowley, LA
Provider details
- NPI number
- 1689128712
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Agra Martin, Owner(337) 781-4836
Specialties & taxonomies
Managed Care Organizations
Practice location
1224 N Parkerson Ave
Crowley, LA 70526-3614
Phone: (337) 781-4836
Approximate (ZIP-level) locationGet directions
Mailing address
1022 N Avenue B
Crowley, LA 70526-3540
Registry dates
- Enumerated
- 2016-08-05
- Last updated
- 2016-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.