Individual
MELODY BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8011 AMY HEWES DR, SHREVEPORT, LA 71115-4605
(478) 808-6145
Mailing address
8011 AMY HEWES DR, SHREVEPORT, LA 71115-4605
(478) 808-6145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-487
LA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-18-59681
LA
224Z00000X
Occupational Therapy Assistant
T-04459
KS
Other
Enumeration date
03/08/2016
Last updated
05/20/2021
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