Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IBTISAM N ISSA
Active Sole ProprietorIBTISAM N ISSA is a Behavior Analyst healthcare provider located in SHREVEPORT, Louisiana. NPI 1770278970 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · SHREVEPORT, LA
Registration Details
- NPI Number
- 1770278970
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2023 (3.3438684645558 yrs)
- Last Updated
- Apr 5, 2023
- License
-
L-691 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
925 OLIVE STSHREVEPORT, LA, 711042103Browse LA providers · Browse ZIP 71104
- Phone
- 3183003560
- Fax
- 3183003561
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| LINDSAY KRISTINE RITTENHOUSE | — | 1518263292 |
| PHYLLIS TRAYNEE RASH | BCBA | 1831488253 |
| CHARLETTE EDWARDS | MSPH, LAC, AADC, BA | 1932448461 |
| MRS. DIANE MAYES | — | 1467883264 |
| JOHNNY TAYLOR | — | 1467825323 |
| GLADYS JOHNSON | — | 1104299890 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.