DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAISON WILBANKS

MEDICARE: MAISON WILBANKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianLA

General Provider Information

NPI Number : 1568393015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAISON WILBANKS
Provider Business Mailing Address
First Line : 2522 E 70TH ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-4002
Country : US
Telephone Number : 318-795-3388
Fax Number : 318-795-3399
Provider Business Practice Location Address
First Line : 2522 E 70TH ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-4002
Country : US
Telephone Number : 318-795-3388
Fax Number : 318-795-3399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

Similar Medicare Providers

1285297226 — ABBY MARIE RUEBIN M.ED, BCBA
Practice Location Address:
2522 E 70TH ST
SHREVEPORT, LA
71105-4002
Practice Phone: 318-795-3388
Practice Fax: 318-795-3399
1073441101 — CHAYIL LOGAN
Practice Location Address:
2522 E 70TH ST
SHREVEPORT, LA
71105-4002
Practice Phone: 318-795-3388
Practice Fax: 318-795-3399
1427986587 — MIKENNA HANKINS
Practice Location Address:
2522 E 70TH ST
SHREVEPORT, LA
71105-4002
Practice Phone: 318-795-3388
Practice Fax: 318-795-3399
1306783691 — MARZANE PERRY
Practice Location Address:
2522 E 70TH ST
SHREVEPORT, LA
71105-4002
Practice Phone: 318-795-3388
Practice Fax: 318-795-3399
1891015855 — LACEY J MCBRIDE M.S., CCC-SLP
Practice Location Address:
2522 E 70TH ST
SHREVEPORT, LA
71105-4002
Practice Phone: 318-795-3388
Practice Fax: 318-795-3399
1518263292 — LINDSAY KRISTINE RITTENHOUSE
Practice Location Address:
2522 E 70TH ST
SHREVEPORT, LA
71105-4002
Practice Phone: 318-795-3388
Practice Fax:

Directions to “ MAISON WILBANKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.