Ibtisam N Issa
Ibtisam N Issa is a Behavior Analyst in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2023
Practice location Address checks out
925 Olive StShreveport, LA 71104-2103
Phone: (318) 300-3560
Fax: (318) 300-3561
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence L-691 (LA) |
|---|
Record details
| NPI number | 1770278970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2023 |
| Last updated in NPPES | April 5, 2023 |
| Certification date | April 5, 2023 |
| Mailing address | 925 Olive St, Shreveport, LA 71104-2103 |
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