Whalio Doctors

NPI 1104299890

Gladys Johnson

Practitioner Behavior Analyst Shreveport, LA

Practice location

Address
351 West 79th Street, Shreveport, LA 71106
Phone
(318) 688-8190
Fax
(318) 688-8193

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X

Registry record

NPI
1104299890
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Nov 2015
Record last updated
4 Nov 2015

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.