PHYLLIS TRAYNEE RASH (NPI# 1831488253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831488253 |
| Entity Type | Individual |
| Full Name | PHYLLIS TRAYNEE RASH |
| Credential | BCBA |
| Practice Address |
1450 Claiborne Ave Shreveport LA 71103-4204 |
| Mailing Address |
1501 Kings Hwy Shreveport LA 71103-4228 |
| Practice Telephone | 3188132970 |
| Practice Fax Number | 3188132981 |
| Mailing Telephone | 3188132970 |
| Mailing Fax Number | 3188132981 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-10-7403 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1174173 | 05 |
| Street Address |
1450 CLAIBORNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720023773 | Amanda Mahoney | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2006-06-16 |
| 1538773866 | Carson Kolbenschlag | Physical Therapy Assistant | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-09-03 |
| 1679182083 | Summer Abdallah | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-31 |
| 1720697816 | Jared Daigle | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-24 |
| 1417566597 | Layne Lockwood | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-24 |
| 1528676038 | Sarah Murnane | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-07-21 |
| 1437772829 | Katelyn Elizabeth Taylor | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2020-05-20 |
| 1548817273 | Nicholas Andrew Russell | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-08-19 |
| 1619521358 | Zachary Pitre | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-07-31 |
| 1528612850 | Carly Paige Funderburk | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| 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 | 71103 |
Please comment or provide details below to improve the information on PHYLLIS TRAYNEE RASH.
| 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.