Frank Chancy Bailey

Individual provider Active NPI Behavior Analyst · Monroe, LA

NPI 1033575766 · NPPES record last updated Jan 11, 2016

Key facts

NPI
1033575766
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
2911 Cameron St
Monroe, LA 71201-3713
Phone
(318) 651-9363
Fax
(318) 651-9251
NPI assigned
Jan 11, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

2911 Cameron St
Monroe, LA 71201-3713

Mailing address

2911 Cameron St
Monroe, LA 71201-3713
Phone (318) 651-9363

Other identifiers

IdentifierTypeStateIssuer
2115723MedicaidLA

Other providers in Monroe, LA

All providers in Monroe, LA · Behavior Analyst in Louisiana

Sources for this page

Verify at the official NPI Registry.