# BEHAVIORAL SPECIALISTS 2 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Behavioral Specialists of Louisiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104303775
- **Authorized official:** RHONDA GRADY (CFO)
- **Authorized official phone:** (318) 300-3560

## Contact information

- **Practice address:** 2001 W COURT ST, WINNFIELD, LA 71483-4601
- **Practice address phone:** (318) 300-3560
- **Practice address fax:** (318) 300-3561
- **Mailing address:** 925 OLIVE ST, SHREVEPORT, LA 71104-2103
- **Mailing address phone:** (318) 300-3560
- **Mailing address fax:** (318) 300-3561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 07/25/2018