Healthcare Provider Details

I. General information

NPI: 1922250745
Provider Name (Legal Business Name): BRIAN M ESTEVE PH.D, BCBA-D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2008
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7252 LAKESHORE DR
NEW ORLEANS LA
70124-2433
US

IV. Provider business mailing address

7252 LAKESHORE DR
NEW ORLEANS LA
70124-2433
US

V. Phone/Fax

Practice location:
  • Phone: 225-343-4232
  • Fax:
Mailing address:
  • Phone: 225-335-5632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1151
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-06-2920
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number004
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: