BEHAVIORAL SPECIALISTS OF LA NPI 1801289020

NPI Information

  • NPI: 1801289020
  • Provider Name: BEHAVIORAL SPECIALISTS OF LA
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: BEHAVIORAL SPECIALISTS OF LOUISIANA
  • Address: 925 OLIVE ST
    SHREVEPORT, LA
    ZIP 71104
  • Phone: (318) 300-3560

Map and Directions

Get Directions

NPI Details

BEHAVIORAL SPECIALISTS OF LA is a clinical psychologist in Shreveport, LA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BEHAVIORAL SPECIALISTS OF LA NPI is 1801289020. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Behavioral Specialists Of Louisiana.

The provider's business location address is:

925 OLIVE ST
SHREVEPORT, LA
ZIP 71104-103
Phone: (318) 300-3560
Fax: (318) 300-3561

The provider's authorized official is Amy C Bamburg .
The authorized official title is Coo/agent and has the following contact phone number (318) 442-4498.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 2/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystLOUISIANANo
2103TC0700XPsychologistClinicalLOUISIANAYes
3252Y00000XEarly Intervention Provider AgencyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12384066MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI