Active NPIIndividual provider

Anna K Bundrick, BCBA

Behavior Analyst in Shreveport, Louisiana

NPI Number1679055396
Practice location
1651 E. 70TH St Suite 2-A, Shreveport, LA 71105
Fax
—
Last updated
May 26, 2021

Anna Kaitlyn Bundrick is a Behavior Analyst based in Shreveport, LA. Anna Kaitlyn Bundrick practices in Shreveport, LA and has the professional credentials of BCBA. The NPI Number for Anna Kaitlyn Bundrick is 1679055396 and holds a License No. 313 (LA). The current practice location address for Anna Kaitlyn Bundrick is 1651 E. 70TH St Suite 2-A, Shreveport, LA 71105 and can be reached out via phone at 877-315-8080.

Provider Profile Details

NPI Number
1679055396
Provider Name
Anna Kaitlyn Bundrick
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
1651 E. 70TH St Suite 2-A, Shreveport, LA 71105
Phone Number
877-315-8080
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2018
Last Update Date
May 26, 2021
Certification Date
May 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1651 E. 70TH St Suite 2-A
Shreveport, LA 71105
Zip
71105
Phone Number
877-315-8080
Shreveport, LA 71105Get directions →

Provider Business Mailing Address Details

Address
373 S Willow St Ste 266
Manchester, NH 03103-5751
City
Manchester
State
NH
Zip
03103-5751
Phone Number
877-315-8080
Fax Number
877-345-4009

License Information

License Number (1)
313
License State (1)
LA
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
L-313
License State (2)
LA
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anna K Bundrick, BCBA?

The NPI number of Anna K Bundrick, BCBA is 1679055396. It was assigned on August 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Anna K Bundrick, BCBA?

Anna K Bundrick, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in LA under license number 313.

Where does Anna K Bundrick, BCBA practice?

The practice location is 1651 E. 70TH St Suite 2-A, Shreveport, LA 71105. The office can be reached at 877-315-8080 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679055396 directly on the NPPES registry website.

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