Arklatex ABA, LLC – Behavior Analyst

Key facts

NPI: 1366027559
Entity type: Organization (NPI type 2)
Primary specialty: Behavior Analyst 103K00000X
Legal business name: ARKLATEX ABA, LLC
Practice address: 7330 Fern Ave Ste 1103
Shreveport, LA 71105-4989
Phone: (318) 264-8818
NPI assigned: Mar 10, 2021
Organization subpart: No

Authorized official

Name: Samantha Legg, BCBA NPI 1447712807
Title: Owner
Phone: (318) 264-8818

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Samantha Jouglard Legg, BCBA Behavior Analyst · Shreveport, LA · NPI 1447712807

NPD Authorized official BEHAVIOR ANALYST
Ellie Kate Wooten Behavior Technician · Shreveport, LA · NPI 1891541058

NPD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst Group: 193400000X SINGLE SPECIALTY GROUP	103K00000X			Yes

Addresses

Primary practice location

7330 Fern Ave Ste 1103
Shreveport, LA 71105-4989

Mailing address

7330 Fern Ave Ste 1103
Shreveport, LA 71105-4989
Phone (318) 264-8818

Other names

Arklatex ABA, LLC Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2021.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1366027559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 FERN AVE STE 1103",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054989",
            "telephone_number": "318-264-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 FERN AVE STE 1103",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054989",
            "telephone_number": "318-264-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKLATEX ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "LEGG",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-264-8818",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arklatex ABA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

All providers in Shreveport, LA · Behavior Analyst in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. 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.

Verify at the official NPI Registry.