Organization · Type 2 NPI

Holy Angels Residential Facility

Behavior Analyst · Shreveport, LA

NPI number 1578014387 Active

Practice location

10450 Ellerbe Rd
Shreveport, LA 71106-7712

Fax (318) 797-0801

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed
Occupational Therapist	225X00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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NPI record

NPI: 1578014387
Entity type: Organization (Type 2)
Issued: Oct 17, 2016
Last updated: May 27, 2022
Status: Active

Other names

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Holy Angels Autism Center · doing business as
Holy Angels Autism Center · doing business as

Authorized official

Mrs. Christina Landry Horne, CPA
Director of Finance
(318) 797-8500

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578014387

Holy Angels Residential Facility's National Provider Identifier is 1578014387, issued on Oct 17, 2016. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Shreveport, LA. The record was last updated on May 27, 2022.