Individual
MS. NIYA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 PINES RD, SHREVEPORT, LA 71129-3935
(318) 703-4779
(318) 918-1258
Mailing address
7505 PINES RD, SHREVEPORT, LA 71129-3935
(318) 703-4779
(318) 918-1258
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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