Behavioral Specialists 2 LLC
Organization Active NPI Clinical Child & Adolescent Psychologist · Winnfield, LA
NPI 1104303775 · NPPES record last updated Jul 25, 2018
Key facts
- NPI
- 1104303775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- Legal business name
- BEHAVIORAL SPECIALISTS 2 LLC
- Practice address
- 2001 W Court St
Winnfield, LA 71483-4601 - Phone
- (318) 300-3560
- Fax
- (318) 300-3561
- NPI assigned
- Jul 25, 2018
- Organization subpart
- No
Authorized official
- Name
- Rhonda Grady
- Title
- Cfo
- Phone
- (318) 300-3560
National Provider Directory
Locations
925 Olive St
Shreveport, LA 71104
Phone (318) 300-3560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Clinical Child & Adolescent Psychologist |
103TC2200X | Yes | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
2001 W Court St
Winnfield, LA 71483-4601
Mailing address
925 Olive St
Shreveport, LA 71104-2103
Phone (318) 300-3560
Other names
- Behavioral Specialists of Louisiana
Other providers in Winnfield, LA
- Autumn Leaves Nursing & Rehabilitation Center, LLC
- Keith Everett Bailey
- Beverly Barnum
- Victoria Meredith Bates
- Caroline S. Battles
- Jennette Sepulvado Bergstedt
- Bio-Medical Applications of Louisiana, LLC
- David A Bish
- April Boyett
- Mary Sue Branch
All providers in Winnfield, LA · Clinical Child & Adolescent Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.