NPI 1114627486

Justin Dakota Trippel

Practitioner Behavior Analyst Shreveport, LA

Practice location

Address: 925 Olive St, Shreveport, LA 71104-2103
Phone: (318) 300-3560
Fax: (318) 300-3561

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence L-693 (LA)

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Registry record

NPI: 1114627486
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2023
Record last updated: 6 Mar 2023

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.