Takazato, Samanta Anne
Takazato, Samanta Anne is an sole proprietor health care provider with primary practice located at 2715 Mackey Pl Ste 230 , Shreveport LA 71118-2544. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Takazato, Samanta Anne can be contacted via phone (318) 779-1397.Contact Information
Primary practice address
2715 Mackey Pl Ste 230
Shreveport LA 71118-2544
Phone: (318) 779-1397
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | L-648 | Louisiana |
Profile Details
| NPI number | 1578080933 |
|---|---|
| LBN Legal business name | Takazato, Samanta Anne |
| Credentials | M.ED, BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2017 |
| Last updated | Jun 20th, 2022 - about 4 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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