Provider Demographics
NPI:1154453140
Name:AGUILLARD & ASSOCIATES, LLC
Entity type:Organization
Organization Name:AGUILLARD & ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MOREAU
Authorized Official - Last Name:AGUILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS EQUIAVENCY
Authorized Official - Phone:337-277-3659
Mailing Address - Street 1:707 CEDAR CREST CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-5525
Mailing Address - Country:US
Mailing Address - Phone:337-277-3659
Mailing Address - Fax:337-233-1300
Practice Address - Street 1:707 CEDAR CREST CT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-5525
Practice Address - Country:US
Practice Address - Phone:337-277-3659
Practice Address - Fax:337-233-1300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA213320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities