Active NPI
Melody Bohn
- Behavior Analyst
- Shreveport, LA
National Provider Identifier
1306207022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-487
- Practice address
- 8011 Amy Hewes Dr
Shreveport, LA 71115-4605 - Phone
- (478) 808-6145
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-59681 | LA | |
| Occupational Therapy Assistant | 224Z00000X | T-04459 | KS | |
| Behavior Analyst | 103K00000X | L-487 | LA | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
8011 Amy Hewes Dr
Shreveport, LA 71115-4605
Mailing address
8011 Amy Hewes Dr
Shreveport, LA 71115-4605
Phone (478) 808-6145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-487 | LA | MD | Behavioral Analyst |
| RBT-18-59681 | LA | MD | Behavior Technician |
| T-04459 | KS | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1306207022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8011 AMY HEWES DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711154605",
"telephone_number": "478-808-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8011 AMY HEWES DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711154605",
"telephone_number": "478-808-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "MELODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "RBT-18-59681",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "T-04459",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-487",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.