| Ray Of Light Behavioral Services, Llc | |
|
4104 Rainer St Shreveport LA 71107-7744 | |
| (318) 655-3006 | |
| Not Available |
| Full Name | Ray Of Light Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4104 Rainer St, Shreveport, Louisiana |
| Authorized Official Name and Position | Erika Richter (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 3186553006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Of Light Behavioral Services, Llc 4104 Rainer St Shreveport LA 71107-7744 Ph: (318) 655-3006 | Ray Of Light Behavioral Services, Llc 4104 Rainer St Shreveport LA 71107-7744 Ph: (318) 655-3006 |
| NPI Number | 1063875284 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063875284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | L-146 (Louisiana) | Secondary |
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