Organization
BE YOU OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY W SCOTT (CEO)
(318) 626-5626
Entity
Organization
Contact information
Practice address
7505 PINES RD, SUITE 1295, SHREVEPORT, LA 71129-3935
(318) 626-5626
(318) 626-5726
Mailing address
7505 PINES ROAD, SUITE 1295, SHREVEPORT, LA 71129
(318) 626-5626
(318) 626-5726
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
LA
05
—
251T00000X
—
LA
05
—
261QM0801X
—
LA
Enumeration date
03/23/2017
Last updated
03/23/2017
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