Individual
GEISHANEAL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 W MAY ST, WICHITA, KS 67213-3505
(318) 364-8767
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 202-3706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
14943
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
02/02/2026
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