Provider Demographics
NPI:1861199549
Name:BOOK, RONNY KAYE (MED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:RONNY
Middle Name:KAYE
Last Name:BOOK
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14270 HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71343-3982
Mailing Address - Country:US
Mailing Address - Phone:318-481-3084
Mailing Address - Fax:
Practice Address - Street 1:1587 N SECOND ST
Practice Address - Street 2:
Practice Address - City:JENA
Practice Address - State:LA
Practice Address - Zip Code:71342-4031
Practice Address - Country:US
Practice Address - Phone:318-302-6000
Practice Address - Fax:318-302-6001
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-698103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst