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NPI Code Detail

MEDICARE: GEISHANEAL ANDERSON

MEDICARE: GEISHANEAL ANDERSON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1811443401
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEISHANEAL ANDERSON
Provider Business Mailing Address
First Line : 3625 YOUREE DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-2121
Country : US
Telephone Number : 318-202-3706
Fax Number :
Provider Business Practice Location Address
First Line : 1319 W MAY ST
Second Line :
City : WICHITA
State : KS
Zip : 67213-3505
Country : US
Telephone Number : 318-364-8767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 02/02/2026

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Directions to “ GEISHANEAL ANDERSON ” Practice Location

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