Behavioral Specialists of la
NPI 1801289020ActiveOrganization· Psychologist, Clinical· Shreveport, LA
Psychologist, Clinical in Shreveport, Louisiana, registered in NPPES in March 2015. The authorized official on file is Amy C. Bamburg, Coo/Agent. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801289020 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2015 |
| Last updated in NPPES | Feb 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | LA |
| Behavior Analyst | 103K00000X | — | LA |
| Early Intervention Provider Agency | 252Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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