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Organization
BEHAVIORAL SPECIALISTS 2 LLC
Active
Organization
BEHAVIORAL SPECIALISTS 2 LLC
Active
Other names
Behavioral Specialists of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA GRADY (CFO)
(318) 300-3560
Entity
Organization
Contact information
Practice address
2001 W COURT ST, WINNFIELD, LA 71483-4601
(318) 300-3560
(318) 300-3561
Mailing address
925 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 300-3560
(318) 300-3561
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
NULL
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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