Rahseema Shannel Clark
Individual provider Active NPI Behavior Technician · Youngsville, LA
NPI 1508405697 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1508405697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755 - Phone
- (337) 857-3674
- NPI assigned
- Jan 6, 2020
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
209 Centre Sarcelle Blvd Ste 201
Youngsville, LA 70592-6755
Mailing address
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other providers in Youngsville, LA
- Kyoko Lashell Charles
- Nabria D Charles
- Lucy Chen
- Tammie Longfellow - Buyers Cheramie
- Peggy Alayna Clark
- Roxanne Clark
- Marae Cole
- Erica Amy Coleman
- Brianne Collins
- Viviana Colmenarez
All providers in Youngsville, LA · Behavior Technician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. 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.