BE YOU OUTREACH CENTER (NPI# 1144751918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144751918 |
| Entity Type | Organization |
| Organization Name | BE YOU OUTREACH CENTER |
| Practice Address |
7505 Pines Rd Suite 1295 Shreveport LA 71129-3935 |
| Mailing Address |
7505 Pines Road Suite 1295 Shreveport LA 71129 |
| Practice Telephone | 3186265626 |
| Practice Fax Number | 3186265726 |
| Mailing Telephone | 3186265626 |
| Mailing Fax Number | 3186265726 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | MRS. KATHY W SCOTT (CEO) |
| Authorized Official Telephone | 3186265626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 251S00000X | 05 | |
| LA | 251T00000X | 05 | |
| LA | 261QM0801X | 05 |
| Street Address |
7505 PINES RD SUITE 1295 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71129-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679614150 | Provider Care Inc. | Durable Medical Equipment & Medical Supplies | 7505 Pines Rd, Suite 1190, Shreveport, LA 71129-3929 | 2007-02-09 |
| 1003448440 | Jasmine Clinton | Case Manager/Care Coordinator | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2020-02-04 |
| 1215569660 | Shadonna Layton | Case Manager/Care Coordinator | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2020-02-04 |
| 1710527684 | Tche-lin Johnson | Case Manager/Care Coordinator | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2020-01-08 |
| 1700359692 | Latasha R Walters | Case Manager/Care Coordinator | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2019-01-03 |
| 1942772645 | Saundra Williams | Counselor | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2018-12-19 |
| 1598257255 | Derolyk Fuller | Counselor | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2018-05-30 |
| 1205360468 | Bruce Deandre Metcalf | Counselor | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2017-04-14 |
| 1811421084 | Jerwin Jermaine Wilson | Counselor | 7505 Pines Rd, Shreveport, LA 71129-3935 | 2017-04-14 |
| 1013366442 | Elonda Gerard | Case Manager/Care Coordinator | 7505 Pines Rd, Suite 1255, Shreveport, LA 71129 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
| 1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
| 1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
| 1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
| 1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
| 1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
| 1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
| 1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
| Find all providers in zip 71129 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1417597782 | Camille Brooke Williams | Behavior Technician | 7607 Fern Avw, 403, Shreveport, LA 71105-5699 | 2020-01-14 |
| 1881163509 | Lavonda Moore | Behavior Technician | 7607 Fern Ave Ste 404405, Shreveport, LA 71105-5739 | 2018-11-26 |
| 1316467798 | Charles L Tilley Jr. | Behavior Technician | 4642 Bethume Dr, Shreveport, LA 71109-6634 | 2017-06-26 |
| 1346760717 | Melvina Harris | Behavior Technician | 700 Pierre Ave Ste A, Shreveport, LA 71103-2725 | 2017-06-26 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1396273249 | Kanisha Michelle Cooper | Behavior Technician | 1500 N Market St Ste C104, Shreveport, LA 71107-6545 | 2017-05-23 |
| 1740723345 | Patrice Bennett | Behavior Technician | 3817 Woodrow Ave, Shreveport, LA 71109-4435 | 2016-11-30 |
| 1013450154 | Vonetta Cook | Behavior Technician | 2715 Mackey Pl # Pl135, Shreveport, LA 71118-2544 | 2016-11-21 |
| 1386186625 | Barbara Simpson | Behavior Technician | 4130 Clover St, Shreveport, LA 71109-7220 | 2016-11-16 |
| 1548702749 | Evangela Robertson | Behavior Technician | 1651 E 70th St # 259, Shreveport, LA 71105-5115 | 2016-11-06 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71129 |
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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.