=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568319440
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CATALYST BEHAVIORAL HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2026
-----------------------------------------------------
Last Update Date | 03/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 645 BECKY LN
-----------------------------------------------------
City | LAKE CHARLES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70605-6676
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-302-5923
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 645 BECKY LN
-----------------------------------------------------
City | LAKE CHARLES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70605-6676
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-302-5923
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER & CLINICAL DIRECTOR
-----------------------------------------------------
Name | MRS. PREYETA HOSSAIN
-----------------------------------------------------
Credential | MA, BCBA, LBA
-----------------------------------------------------
Telephone | 337-302-5923
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------