NPI 1720538440

Ivery Datcher

Practitioner Assistant Behavior Analyst Shreveport, LA

Practice location

Address: 1137 Graystone Dr, Shreveport, LA 71107-5532
Phone: (318) 230-8253

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1720538440
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2016
Record last updated: 5 Oct 2016

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.