| NPI | 1063000750 |
|---|---|
| Doing Business As | LSU HEALTH SHREVEPORT DBA ALLIED HEALTH CLINICS |
| Entity Type | Organization |
| Authorized Contact | REVA LATISHA MATTHIEW Director Of Clinical Mgmt System 318-813-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |