| Be You Outreach Center | |
|
7505 Pines Rd Suite 1295 Shreveport LA 71129-3935 | |
| (318) 626-5626 | |
| (318) 626-5726 |
| Full Name | Be You Outreach Center |
|---|---|
| Speciality | Behavior Technician |
| Location | 7505 Pines Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Kathy W Scott (CEO) |
| Authorized Official Contact | 3186265626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Be You Outreach Center 7505 Pines Road Suite 1295 Shreveport LA 71129 Ph: (318) 626-5626 | Be You Outreach Center 7505 Pines Rd Suite 1295 Shreveport LA 71129-3935 Ph: (318) 626-5626 |
| NPI Number | 1144751918 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144751918 | NPI | - | NPPES |
| 251T00000X | Medicaid | LA | |
| 261QM0801X | Medicaid | LA | |
| 251S00000X | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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