NPI 1306207022 · live from the CMS NPI Registry
Melody Bohn
Behavior Analyst in Shreveport, LA. National Provider Identifier 1306207022, active.
NPI record
| NPI | 1306207022 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 8011 Amy Hewes Dr, Shreveport, LA 71115 |
| Practice phone | 478-808-6145 |
| Enumerated | March 8, 2016 |
| Last updated | May 20, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-59681 (LA) |
| Occupational Therapy Assistant | 224Z00000X | T-04459 (KS) |
| Behavior Analyst primary | 103K00000X | L-487 (LA) |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.