Provider Demographics
NPI:1154978922
Name:ELOI, TAMARA (BCBA)
Entity type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:
Last Name:ELOI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:FUSELIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-3461
Mailing Address - Country:US
Mailing Address - Phone:337-888-3049
Mailing Address - Fax:337-628-1652
Practice Address - Street 1:700 1ST AVE
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-3461
Practice Address - Country:US
Practice Address - Phone:337-888-3049
Practice Address - Fax:337-628-1652
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA359103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst