GREG BROWN, MD, LLC (NPI# 1487918454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487918454 |
| Entity Type | Organization |
| Organization Name | GREG BROWN, MD, LLC |
| Practice Address |
9091 Ellerbe Rd Suite 200b Shreveport LA 71106-6738 |
| Practice Telephone | 3188613838 |
| Practice Fax Number | 3188613836 |
| Mailing Telephone | 3188613838 |
| Mailing Fax Number | 3188613836 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | DR. GREG BROWN (PRESIDENT) |
| Authorized Official Telephone | 3188613838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | MD020452 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1988987 | 05 |
| Street Address |
9091 ELLERBE RD SUITE 200B |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-6738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801870415 | Stephen M Beene | Specialist | 9091 Ellerbe Rd, Suite 200, Shreveport, LA 71106-6738 | 2005-12-06 |
| 1932488525 | Gregory P Guerin | Counselor | 9091 Ellerbe Rd, Suite 200 B, Shreveport, LA 71106-6738 | 2011-08-12 |
| 1922235597 | Peter H. Nasser | Dentist | 9091 Ellerbe Rd, Suite 500, Shreveport, LA 71106-6738 | 2009-06-22 |
| 1497966907 | Kyle K. Runnels | Psychiatry & Neurology | 9091 Ellerbe Rd, Suite 200 B, Shreveport, LA 71106-6738 | 2007-05-25 |
| 1689768897 | Kenneth Wayne Mouser | Dentist | 9091 Ellerbe Rd, Suite 300, Shreveport, LA 71106-6738 | 2006-10-03 |
| 1619937802 | John G Underwood II | Internal Medicine | 9091 Ellerbe Rd, Ste 200, Shreveport, LA 71106-6738 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945733 | Quality Youth Services LLC | Behavioral Analyst | 2715 Mackey Pl Ste 130, Shreveport, LA 71118-2528 | 2020-03-02 |
| 1821652041 | Latisha Nicole Abrams Bracey | Behavioral Analyst | 2028 N Kirkwood Dr, Shreveport, LA 71118-4715 | 2019-04-23 |
| 1497268833 | Jennifer Schultz Boyter | Behavioral Analyst | 842 Elmwood St, Shreveport, LA 71104-4802 | 2017-11-07 |
| 1407304843 | Natoria Womack | Behavioral Analyst | 2715 Mackey Pl Ste., Shreveport, LA 71118 | 2016-09-14 |
| 1104299890 | Gladys Johnson | Behavioral Analyst | 351 West 79th Street, Shreveport, LA 71106 | 2015-11-04 |
| 1801289020 | Behavioral Specialists of La | Behavioral Analyst | 925 Olive St, Shreveport, LA 71104-2103 | 2015-03-12 |
| 1467883264 | Diane Mayes | Behavioral Analyst | 644 Ashley River Rd, Shreveport, LA 71115-3830 | 2013-12-03 |
| 1003430471 | Ashley King | Behavioral Analyst | 2522 E 70th St, Shreveport, LA 71105-4002 | 2020-06-02 |
| 1407470941 | Bethany Marie Hamilton | Behavioral Analyst | 650 Olive St, Shreveport, LA 71104-2210 | 2020-06-01 |
| 1720612344 | Kelly L Rouse | Behavioral Analyst | 7607 Fern Ave, Suite 403, Shreveport, LA 71105-5699 | 2020-02-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.