Stephanie Anfinson, RBT

Individual provider Active NPI Behavior Technician · Bossier City, LA

NPI 1609418441 · NPPES record last updated Oct 14, 2019

Key facts

NPI
1609418441
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4440 Viking Dr Ste 400
Bossier City, LA 71111-7511
Phone
(318) 245-4113
Fax
(318) 588-8909
NPI assigned
Oct 14, 2019
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4440 Viking Dr Ste 400
Bossier City, LA 71111-7511

Mailing address

PO Box 1823
West Monroe, LA 71294-1823
Phone (318) 588-8908

Other practice location 1

628 Commercial Pkwy Ste 2
West Monroe, LA 71292-8062
Phone (318) 245-4113

Other providers in Bossier City, LA

All providers in Bossier City, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.