Organization
RAY OF LIGHT BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA RICHTER MA, BCBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(318) 655-3006
Entity
Organization
Contact information
Practice address
4104 RAINER ST, SHREVEPORT, LA 71107-7744
(318) 655-3006
Mailing address
4104 RAINER ST, SHREVEPORT, LA 71107-7744
(318) 655-3006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
L-146
LA
Other
Enumeration date
04/04/2016
Last updated
05/09/2018
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