NPI 1407409519 · live from the CMS NPI Registry
Mariah Bertrand
Behavior Analyst in Shreveport, LA. National Provider Identifier 1407409519, active.
NPI record
| NPI | 1407409519 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 7607 Fern Ave, Shreveport, LA 71105 |
| Practice phone | 318-284-8481 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | July 17, 2019 |
| Last updated | July 17, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.