Shayne Willard

Behavior Analyst · Bastrop, LA

Individual Active NPI

NPI number 1740004506

Practice location

2048 E Madison Ave
Bastrop, LA 71220-4035
Phone
(318) 379-3214

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NPI record

NPI
1740004506
Entity type
Individual (Type 1)
Enumeration date
November 8, 2024
Last updated
November 8, 2024
Certified
November 8, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X L-903 LA

Mailing address

2703 Sterlington Rd Apt 49
Monroe, LA 71203-2565
Phone
(716) 427-8411

About Shayne Willard

Shayne Willard is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2048 E Madison Ave, Bastrop, LA 71220-4035. The NPI number 1740004506 was assigned on November 8, 2024 and the record was last updated on November 8, 2024.

Shayne Willard lists a license in the registry: #L-903 (LA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shayne Willard?

The NPI number is 1740004506.

What is the phone number of Shayne Willard?

The phone number listed for the practice location is (318) 379-3214.

Where is Shayne Willard located?

2048 E Madison Ave, Bastrop, LA 71220-4035.

What is the taxonomy code for Shayne Willard?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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