Amanda Chesson
Individual provider Active NPI Behavior Analyst · Bastrop, LA
NPI 1386092583 · NPPES record last updated May 27, 2016
Key facts
- NPI
- 1386092583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 644 E Jefferson Ave
Bastrop, LA 71220-4619 - Phone
- (318) 239-3862
- NPI assigned
- May 27, 2016
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
644 E Jefferson Ave
Bastrop, LA 71220-4619
Mailing address
644 E Jefferson Ave
Bastrop, LA 71220-4619
Phone (318) 239-3862
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- Cherry Ridge Skilled Nursing Facility, LLC
- Chiropractic Health Center of Morehouse, Inc.
- Christopher James Clark
- Shomowna Clark
- Clinton a Netherland, MD Apmc
- Loreal Cloman
All providers in Bastrop, 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 May 27, 2016. 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.