LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

SHREVEPORT, LA
NPI1063000750
Doing Business AsLSU HEALTH SHREVEPORT DBA ALLIED HEALTH CLINICS
Entity TypeOrganization
Authorized ContactREVA LATISHA MATTHIEW
Director Of Clinical Mgmt System
318-813-2962
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies106E00000X Assistant Behavior Analyst
106S00000X Behavior Technician
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
Mailing Address
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2962
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