Boydstun, Madison Vlahakis

Boydstun, Madison Vlahakis is an individual health care provider with primary practice located at 4440 Viking Dr Ste 400 , Bossier City LA 71111-7511. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Boydstun, Madison Vlahakis can be contacted via phone (318) 245-4113.

Contact Information

Primary practice address
4440 Viking Dr Ste 400 Bossier City LA 71111-7511
Phone: (318) 245-4113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1942800172
LBN Legal business name Boydstun, Madison Vlahakis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2020
Last updated Oct 27th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942800172 NPPES
Louisiana Other C-80 STATE CERTIFICATION ASSISTANT BEHAVIOR ANALYST

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