Whalio Doctors

NPI 1043951429

Beatrice Jordanna Green, RBT

Practitioner Behavior Technician Leesville, LA

Practice location

Address
112 N 3rd St, Leesville, LA 71446-4014
Phone
(337) 239-3334

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence R-10907 (LA)

Registry record

NPI
1043951429
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Apr 2022
Record last updated
7 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.