| Quality Youth Services Llc | |
|
2715 Mackey Pl Ste 130 Shreveport LA 71118-2528 | |
| (318) 423-7963 | |
| Not Available |
| Full Name | Quality Youth Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2715 Mackey Pl Ste 130, Shreveport, Louisiana |
| Authorized Official Name and Position | Torriano Lee (OWNER) |
| Authorized Official Contact | 3184237963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Youth Services Llc 2715 Mackey Pl Ste 130 Shreveport LA 71118-2528 Ph: (318) 423-7963 | Quality Youth Services Llc 2715 Mackey Pl Ste 130 Shreveport LA 71118-2528 Ph: (318) 423-7963 |
| NPI Number | 1053945733 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053945733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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