Rash, Phyllis Traynee

Rash, Phyllis Traynee is an individual health care provider with primary practice located at 1450 Claiborne Ave , Shreveport LA 71103-4204. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Rash, Phyllis Traynee can be contacted via phone (318) 813-2970.

Contact Information

Primary practice address
1450 Claiborne Ave Shreveport LA 71103-4204
Fax: (318) 813-2981
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-7403 Louisiana

Profile Details

NPI number 1831488253
LBN Legal business name Rash, Phyllis Traynee
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated Aug 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831488253 NPPES
Louisiana MEDICAID 1174173

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