Kellie-Ann M Harville

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

R-10899 Issued in LA

Practice address

2522 E 70TH St
Shreveport, LA 71105-4002

Phone

(318) 795-3388

NPI assigned

Mar 2, 2022

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wardell Interest, Inc.

  • Speech-Language Pathologist
  • Shreveport, LA
  • NPI 1134477813
  NPD (past)
• Wardell Interests, Inc

  dba Little Works In Progress

  • Speech-Language Pathologist
  • Shreveport, LA
  • NPI 1134266083
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1386391191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 ADDISON AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711073113",
            "telephone_number": "318-518-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054002",
            "telephone_number": "318-795-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVILLE",
        "first_name": "KELLIE-ANN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "R-10899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Elaine Hartzo, LMSW
• Barbara Harvey
• Jeriel Harvey, LPC, CCTP, CGP.
• Joshua Harvey
• Kireshel Harvey
• Kaylee Ann Harwell
• Harwood Counseling Services
• Raaed Hasan, PHARM.D.
• Yousef Hasan
• Haider Hasnain, MD

• Behavior Technician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Behavior Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.