Wallace, Sadie Noelle

Wallace, Sadie Noelle is an individual health care provider with primary practice located at 4440 Viking Dr Ste 400 , Bossier City LA 71111-7511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Wallace, Sadie Noelle can be contacted via phone (318) 588-8908.

Contact Information

Primary practice address
4440 Viking Dr Ste 400 Bossier City LA 71111-7511
Phone: (318) 588-8908
Fax: (318) 588-8909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X L-494 Louisiana

Profile Details

NPI number 1538657051
LBN Legal business name Wallace, Sadie Noelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2018
Last updated Mar 29th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538657051 NPPES
Louisiana Other L-494 STATE LICENSE FOR BEHAVIOR ANALYST
Louisiana Other 1-20-43732 STATE LICENSE FOR BEHAVIOR ANALYST

Popular Providers