MADISON VLAHAKIS BOYDSTUN (NPI# 1942800172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942800172 |
| Entity Type | Individual |
| Full Name | MADISON VLAHAKIS BOYDSTUN |
| Other Name | MADISON VLAHAKIS |
| Practice Address |
4440 Viking Dr Ste 400 Bossier City LA 71111-7511 |
| Mailing Address |
Po Box 1823 West Monroe LA 71294-1823 |
| Practice Telephone | 3182454113 |
| Mailing Telephone | 3185888908 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE CERTIFICATION ASSISTANT BEHAVIOR ANALYST | C-80 | 01 |
| Street Address |
4440 VIKING DR STE 400 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410127 | Samantha Deeann Dortch | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2019-07-31 |
| 1942817614 | Rachel Knight | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2020-09-28 |
| 1073120747 | Kayley Hurd | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2020-09-28 |
| 1518572106 | Sarah Dame | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2020-09-10 |
| 1962013177 | Lindsey Willis | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2020-08-11 |
| 1609418441 | Stephanie Anfinson | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2019-10-14 |
| 1124660998 | Caitlyn Martin | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2019-10-14 |
| 1285276956 | Norman Smith | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2019-10-14 |
| 1215581830 | Miranda Baer | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538970 | Caroline Bridges | Assistant Behavior Analyst | 4440 Viking Dr, Bossier City, LA 71111-7511 | 2020-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759543 | Heather L Naquin | Assistant Behavior Analyst | 968 Aragon Rd, Montegut, LA 70377-3322 | 2020-01-13 |
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1851935613 | Full Spectrum Aba of Louisiana | Assistant Behavior Analyst | 201 Rue Beauregard Ste 202, Lafayette, LA 70508-3251 | 2019-11-04 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1972091577 | Sabrina Flettrich | Assistant Behavior Analyst | 3504 Taft Park, Metairie, LA 70002-4558 | 2018-04-29 |
| 1700383478 | Louis Jackson | Assistant Behavior Analyst | 6104 Manor Dr, Alexandria, LA 71302-2529 | 2018-04-10 |
| 1104353606 | Elizabeth Lee Murray | Assistant Behavior Analyst | 7607 Fern Ave Ste 403, Shreveport, LA 71105-5699 | 2017-05-15 |
| 1801330014 | Victoria Cade | Assistant Behavior Analyst | 3033 Marietta St, Kenner, LA 70065-4430 | 2016-12-06 |
| 1508318965 | Stacy Robinson | Assistant Behavior Analyst | 620 Kings Towne Pl, Shreveport, LA 71108-6012 | 2016-11-01 |
| 1720538440 | Ivery Datcher | Assistant Behavior Analyst | 1137 Graystone Dr, Shreveport, LA 71107-5532 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.